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Ureter Endoscopy With Biopsy Through Stoma

Washington 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 $955 · 10th–90th $525$17,3780%10%20%10th90th$955Professionalmedian $692 · 10th–90th $407$1,1220%10%20%10th90th$692$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$562.34
Median
$1,096.48
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$645.65
Typical High
$1,148.15
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$16,218.10
Typical High
$28,183.83
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,174.90
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$851.14
Typical High
$6,606.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$263.03
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$870.96
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$588.84
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$1,071.52
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$15,135.61
Typical High
$28,183.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$16,595.87
Typical High
$30,902.95
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$1,174.90
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$630.96