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Ureter Scope Through Existing Opening, Stone Removal

Vermont 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?

$525

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $525 for this service. Most negotiated rates run $437 to $646.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $309 to $6,026Professionalmedian $525 · 10th to 90th $380 to $741
$500$1K$2K$5Kfacility $1,698professional $525

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
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$524.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$512.86
Typical High
$645.65
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$549.54
Typical High
$891.25

Where Vermont sits

The same service costs 4.1 times more in Alaska than in New York. 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.

Vermont· 24th of 51

$525

AK $1,585NY $389

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.