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Ureter Endoscopy With Biopsy Through Stoma

Tennessee 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 $2,570 · 10th–90th $603$7,5860%5%10th90th$2,570Professionalmedian $468 · 10th–90th $355$9770%10%20%10th90th$468$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$467.74
Median
$1,778.28
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$5,370.32
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$851.14
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$19,498.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,548.13
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$933.25