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Ureter Endoscopy With Biopsy Through Stoma

South Carolina 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 $4,898 · 10th–90th $427$16,5960%5%10%10th90th$4,898Professionalmedian $457 · 10th–90th $339$8320%20%10th90th$457$50.0$200.0$1.0K$5.0K$20.0K

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
$426.58
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$6,760.83
Typical High
$11,220.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$489.78
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$1,000.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$10,964.78
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$870.96