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Ureter Endoscopy With Biopsy Through Stoma

Wisconsin 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 $8,913 · 10th–90th $1,122$16,9820%5%10%10th90th$8,913Professionalmedian $794 · 10th–90th $407$1,9050%5%10th90th$794$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
$354.81
Median
$707.95
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$1,621.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$794.33
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,318.26
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,023.29
Typical High
$1,548.82
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$851.14
Typical High
$3,801.89
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$3,162.28
Typical High
$8,709.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$851.14
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$575.44
Network Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$5,754.40
Typical High
$7,762.47
Network Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,148.15
Typical High
$1,548.82
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$851.14
Quartz
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,023.29
Typical High
$1,548.82
Quartz
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,488.17
Typical High
$15,488.17
Quartz
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$776.25
Typical High
$6,309.57
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,187.76
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$7,585.78
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$660.69
Typical High
$1,778.28