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Ureter Scope Through Existing Opening, Stone Removal

New Mexico rates for HCPCS 50961

A scope is passed through an opening that already drains a ureter — the tube carrying urine from kidney to bladder — out to the skin, and a stone or a foreign object is grasped and pulled out through it. Baskets or graspers are passed down the scope to capture the object. No new surgical opening is made.

Rates data updated October 2026.

How much does Ureter Scope Through Existing Opening, Stone Removal cost?

$2,064

Typical total for the visit. In New Mexico, October 2026.

Insurers have agreed to pay about $2,064 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $1,585 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$479$372 to $589
Facility feeThe hospital or surgery center$1,585$1,047 to $3,715

How much rates vary

Facilitymedian $1,585 · 10th to 90th $589 to $6,918Professionalmedian $479 · 10th to 90th $302 to $708
$50$200$1K$5K$20Kfacility $1,585professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$398.11
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$3,162.28
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$478.63
Typical High
$660.69
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$112.20
Typical High
$562.34
Providence
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$1,288.25
Typical High
$4,570.88
Providence
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$489.78
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,344.23
Typical High
$9,772.37
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$524.81
Typical High
$794.33

Where New Mexico sits

The same service costs 6.9 times more in Colorado than in Montana. 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.

Physician feeFacility fee

New Mexico· 41st of 51

$2,064

$479 physician + $1,585 facility

CO $7,286MT $1,064

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.