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Ureter Endoscopy With Biopsy Through Stoma

New Hampshire 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?

$6,126

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $6,126 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $5,495 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$631$479 to $832
Facility feeThe hospital or surgery center$5,495$1,820 to $8,913

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,514 to $9,550Professionalmedian $631 · 10th to 90th $363 to $1,072
$100$200$500$1K$2K$5K$10Kfacility $5,495professional $631

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
$741.31
Median
$1,819.70
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$630.96
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$707.95
Typical High
$1,202.26
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$630.96
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$691.83
Typical High
$1,258.93

Where New Hampshire 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

New Hampshire· 9th of 50

$6,126

$631 physician + $5,495 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.