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Ureter Endoscopy With Biopsy Through Stoma

Virginia 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 $1,950 · 10th–90th $398$8,7100%5%10%10th90th$1,950Professionalmedian $457 · 10th–90th $355$9330%10%20%10th90th$457$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
$457.09
Median
$2,630.27
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$741.31
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$1,348.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$870.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$512.86
Typical High
$851.14