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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.

How much does Ureter Endoscopy With Biopsy Through Stoma cost?

$6,325

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

Insurers have agreed to pay about $6,325 for this procedure. That total is two separate charges: $437 to the doctor who performs it, and $5,888 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$437$372 to $589
Facility feeThe hospital or surgery center$5,888$3,890 to $7,762

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,259 to $10,965Professionalmedian $437 · 10th to 90th $331 to $1,175
$500$1K$2K$5K$10K$20Kfacility $5,888professional $437

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
$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

Where New Jersey 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 Jersey· 7th of 50

$6,325

$437 physician + $5,888 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.