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Ureter Endoscopy With Biopsy Through Stoma

West 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 $398 · 10th–90th $331$1,4130%20%10th90th$398Professionalmedian $398 · 10th–90th $331$5620%20%10th90th$398$500.0$1.0K$2.0K$5.0K$10.0K

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
$331.13
Median
$398.11
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$478.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$446.68
CareSource
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$812.83