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Ureter Endoscopy With Biopsy Through Stoma

Montana 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 $724 · 10th–90th $589$8130%20%10th90th$724Professionalmedian $676 · 10th–90th $437$1,8620%10%20%10th90th$676$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
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$707.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$794.33
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$794.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$831.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$549.54
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$1,000.00