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Ureter Endoscopy With Biopsy Through Stoma

Ohio 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 $2,884 · 10th–90th $537$12,0230%10%10th90th$2,884Professionalmedian $447 · 10th–90th $331$1,2020%20%10th90th$447$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$457.09
Median
$2,238.72
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$3,467.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,548.13
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$794.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$346.74
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$851.14
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$851.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,265.80
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$758.58