go back

Ureter Endoscopy With Biopsy Through Stoma

Pennsylvania 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?

$3,090

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

Insurers have agreed to pay about $3,090 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $2,692 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$398$372 to $479
Facility feeThe hospital or surgery center$2,692$1,318 to $5,370

How much rates vary

Facilitymedian $2,692 · 10th to 90th $537 to $8,318Professionalmedian $398 · 10th to 90th $316 to $912
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $2,692professional $398

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
$537.03
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$912.01
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$741.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$758.58
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$933.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,398.83
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$1,412.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,023.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,258.93
Typical High
$2,187.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$831.76

Where Pennsylvania sits

The same service costs 16.0 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feePennsylvania $3,090 · 28th of 50
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.