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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.

How much does Ureter Endoscopy With Biopsy Through Stoma cost?

$2,422

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

Insurers have agreed to pay about $2,422 for this procedure. That total is two separate charges: $427 to the doctor who performs it, and $1,995 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$427$389 to $525
Facility feeThe hospital or surgery center$1,995$1,175 to $2,754

How much rates vary

Facilitymedian $1,995 · 10th to 90th $513 to $3,802Professionalmedian $427 · 10th to 90th $347 to $1,023
$500$1K$2K$5K$10Kfacility $1,995professional $427

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
$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

Where Kentucky 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

Kentucky· 34th of 50

$2,422

$427 physician + $1,995 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.