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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.

How much does Ureter Endoscopy With Biopsy Through Stoma cost?

$796

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $796 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $398 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$398$372 to $457
Facility feeThe hospital or surgery center$398$331 to $447

How much rates vary

Facilitymedian $398 · 10th to 90th $331 to $1,413Professionalmedian $398 · 10th to 90th $331 to $562
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $398professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where West Virginia sits

The same service costs 16.0 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeWest Virginia $796 · 50th of 50
IN $12,729WV $796

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.