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Ureter Endoscopy With Biopsy Through Stoma

Nebraska 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 $6,026 · 10th–90th $832$14,4540%10%10th90th$6,026Professionalmedian $646 · 10th–90th $324$1,8620%5%10%10th90th$646$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,187.76
Median
$6,025.60
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$630.96
Typical High
$2,344.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,589.25
Typical High
$24,547.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$588.84
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$831.76
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$741.31
Typical High
$7,585.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,258.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$5,623.41
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,071.52