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Ureter Endoscopy With Biopsy Through Stoma

North Carolina 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 $933 · 10th–90th $372$7,5860%5%10th90th$933Professionalmedian $513 · 10th–90th $339$1,2020%10%10th90th$513$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
$416.87
Median
$1,318.26
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$691.83
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$630.96
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$954.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$891.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$6,309.57
Typical High
$6,309.57