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Ureter Endoscopy With Biopsy Through Stoma

Rhode Island 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 $3,715 · 10th–90th $1,549$8,9130%10%20%10th90th$3,715Professionalmedian $501 · 10th–90th $363$7410%10%10th90th$501$500.0$1.0K$2.0K$5.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$812.83