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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.

How much does Ureter Endoscopy With Biopsy Through Stoma cost?

$3,331

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $3,331 for this procedure. That total is two separate charges: $447 to the doctor who performs it, and $2,884 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$447$372 to $589
Facility feeThe hospital or surgery center$2,884$1,380 to $5,129

How much rates vary

Facilitymedian $2,884 · 10th to 90th $537 to $12,023Professionalmedian $447 · 10th to 90th $331 to $1,202
$50$200$1K$5Kfacility $2,884professional $447

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
$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

Where Ohio 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

Ohio· 24th of 50

$3,331

$447 physician + $2,884 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.