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Ureter Endoscopy With Cauterizing Or Incision

Illinois rates for HCPCS 50957

Examination of the ureter, the tube draining urine from a kidney to the bladder, using a small scope passed through a drainage opening that is already in place. Abnormal tissue is destroyed with heat or a narrowed area is cut open, and a tissue sample may be taken at the same time.

Rates data updated July 2026.

How much does Ureter Endoscopy With Cauterizing Or Incision cost?

$562

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $1,380 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$457$372 to $676
FacilityA hospital or hospital-owned outpatient department$1,380$813 to $3,311

How much rates vary

Facilitymedian $1,380 · 10th to 90th $437 to $6,918Professionalmedian $457 · 10th to 90th $355 to $1,023
$500$1K$2K$5K$10Kfacility $1,380professional $457

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
$436.52
Median
$1,258.93
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,762.47
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$831.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$1,995.26
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,570.88
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$912.01

Where Illinois sits

The same service costs 6.8 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 30th of 51

$562

CA $2,692WV $398

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.