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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.

Facilitymedian $4,365 · 10th–90th $513$10,9650%5%10th90th$4,365Professionalmedian $479 · 10th–90th $347$1,2020%10%10th90th$479$100.0$500.0$2.0K$10.0K$50.0K

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
$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