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Ureter Endoscopy With Biopsy Through Stoma

New Jersey 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 $5,888 · 10th–90th $1,259$10,9650%10%10th90th$5,888Professionalmedian $437 · 10th–90th $331$1,1750%10%10th90th$437$200.0$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
$724.44
Median
$5,495.41
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$1,023.29
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$831.76
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$14,125.38
Typical High
$25,703.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$489.78
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$851.14