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Ureter Endoscopy With Biopsy Through Stoma

Massachusetts 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 $1,318 · 10th–90th $398$5,1290%10%10th90th$1,318Professionalmedian $537 · 10th–90th $347$1,2020%10%10th90th$537$100.0$500.0$2.0K$10.0K$50.0K

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
$446.68
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$1,445.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$5,370.32
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$575.44
Typical High
$1,348.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,174.90
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$389.05
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$501.19
Typical High
$724.44
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$1,174.90
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$5,370.32
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$575.44
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$691.83
Typical High
$1,288.25