go back

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.

Rates data updated July 2026.

How much does Ureter Endoscopy With Biopsy Through Stoma cost?

$1,837

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $1,837 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $1,380 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$457$372 to $676
Facility feeThe hospital or surgery center$1,380$794 to $3,311

How much rates vary

Facilitymedian $1,380 · 10th to 90th $427 to $6,918Professionalmedian $457 · 10th to 90th $355 to $1,023
$500$1K$2K$5K$10Kfacility $1,380professional $457

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,258.93
Typical High
$5,370.32
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
$524.81
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
$1,995.26
Median
$4,570.88
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$912.01

Where Illinois sits

The same service costs 16.0 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Illinois· 41st of 50

$1,837

$457 physician + $1,380 facility

IN $12,729WV $796

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.