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Ureter Endoscopy With Biopsy Through Stoma

Kentucky 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.

Facilitymedian $1,995 · 10th–90th $513$3,8020%5%10%10th90th$1,995Professionalmedian $427 · 10th–90th $347$1,0230%20%10th90th$427$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
$398.11
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$1,174.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$776.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$436.52
Typical High
$524.81
CareSource
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$6,309.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$741.31