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Scope Treatment Inside The Ureter Via Surgical Opening

New Jersey rates for HCPCS 50976

A surgeon cuts directly into the ureter — the tube draining urine from the kidney to the bladder — and passes a small endoscope through that opening to burn away or cut abnormal tissue inside it, taking a tissue sample if something suspicious is seen. Reaching the ureter this way is chosen when it cannot be treated from below, or when the surgeon is already operating in that area. Growths on the lining and scarred narrowings are the usual targets.

Rates data updated July 2026.

How much does Scope Treatment Inside The Ureter Via Surgical Opening cost?

$692

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $5,888 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 5 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$525$457 to $851
FacilityA hospital or hospital-owned outpatient department$5,888$4,266 to $7,762

How much rates vary

Facilitymedian $5,888 · 10th to 90th $2,754 to $10,715Professionalmedian $525 · 10th to 90th $407 to $4,467
$500$1K$2K$5K$10K$20Kfacility $5,888professional $525

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
$2,754.23
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$758.58
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$16,218.10
Typical High
$25,703.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$512.86
Typical High
$1,000.00

Where New Jersey sits

The same service costs 6.9 times more in California than in Maryland. 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.

New Jersey· 36th of 51

$692

CA $3,388MD $490

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.