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Ureter Endoscopy With Biopsy Through Stoma

Utah 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 $3,162 · 10th–90th $525$6,0260%10%10th90th$3,162Professionalmedian $562 · 10th–90th $355$1,2020%10%20%10th90th$562$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
$524.81
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$562.34
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$707.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,000.00
Typical High
$15,135.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$794.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$794.33
Typical High
$933.25
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$776.25