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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.

How much does Ureter Endoscopy With Biopsy Through Stoma cost?

$1,855

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

Insurers have agreed to pay about $1,855 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $1,318 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$380 to $871
Facility feeThe hospital or surgery center$1,318$447 to $2,818

How much rates vary

Facilitymedian $1,318 · 10th to 90th $398 to $5,129Professionalmedian $537 · 10th to 90th $347 to $1,202
$200$500$1K$2K$5K$10Kfacility $1,318professional $537

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
$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

Where Massachusetts 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

Massachusetts· 40th of 50

$1,855

$537 physician + $1,318 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.