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Ureter Endoscopy With Biopsy Through Stoma

Illinois rates for HCPCS 50955

An exam in which a scope is passed through an existing surgical opening (stoma) to view the ureter, the tube between kidney and bladder, and take a tissue sample. Flushing the ureter and injecting contrast dye may be part of the exam; any radiology service is charged separately.

Facilitymedian $1,862 · 10th–90th $537$7,7620%5%10th90th$1,862Professionalmedian $447 · 10th–90th $347$8910%10%20%10th90th$447$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,621.81
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,762.47
Typical High
$9,772.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$851.14
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$1,737.80
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$446.68
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,570.88
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$912.01