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Ureter Endoscopy With Biopsy Through Stoma

Michigan 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 $2,884 · 10th–90th $537$6,9180%20%10th90th$2,884Professionalmedian $447 · 10th–90th $339$7240%10%20%10th90th$447$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$467.74
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$588.84
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$676.08
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,754.40
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$707.95