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Ureter Endoscopy With Cauterizing Or Incision

Ohio 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?

$525

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $2,884 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 8 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$447$363 to $575
FacilityA hospital or hospital-owned outpatient department$2,884$1,413 to $5,129

How much rates vary

Facilitymedian $2,884 · 10th to 90th $537 to $12,023Professionalmedian $447 · 10th to 90th $331 to $1,175
$50$200$1K$5Kfacility $2,884professional $447

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
$457.09
Median
$2,238.72
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$3,467.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,548.13
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$758.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$354.81
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$831.76
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,265.80
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$758.58

Where Ohio 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.

Ohio· 36th of 51

$525

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.