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Ureter Endoscopy With Biopsy Through Stoma

New York 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?

$4,844

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

Insurers have agreed to pay about $4,844 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $4,365 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$479$398 to $708
Facility feeThe hospital or surgery center$4,365$1,698 to $7,586

How much rates vary

Facilitymedian $4,365 · 10th to 90th $513 to $10,965Professionalmedian $479 · 10th to 90th $347 to $1,202
$500$1K$2K$5K$10Kfacility $4,365professional $479

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
$478.63
Median
$2,754.23
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$1,202.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$1,096.48
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,258.93
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$758.58
Typical High
$1,584.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$1,071.52
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$933.25
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$912.01
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,981.07
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$512.86
Typical High
$1,230.27
Univera
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$446.68
Typical High
$1,230.27
Univera
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$1,000.00

Where New York 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 York· 13th of 50

$4,844

$479 physician + $4,365 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.