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Ureter Endoscopy With Biopsy Through Stoma

South Dakota 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?

$1,588

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,588 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $912 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$676$407 to $832
Facility feeThe hospital or surgery center$912$525 to $2,291

How much rates vary

Facilitymedian $912 · 10th to 90th $427 to $4,365Professionalmedian $676 · 10th to 90th $331 to $1,000
$500$1K$2K$5K$10Kfacility $912professional $676

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$691.83
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$812.83
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$870.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$724.44
Typical High
$1,148.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$1,096.48

Where South Dakota 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

South Dakota· 46th of 50

$1,588

$676 physician + $912 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.