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Bladder and Urethra Scope Exam

Illinois rates for HCPCS 52000

This procedure uses a thin, lighted scope passed through the urethra to directly examine the inside of the urethra and bladder. It allows a clinician to look for abnormalities such as inflammation, growths, or structural problems without making any incision.

Rates data updated July 2026.

How much does Bladder and Urethra Scope Exam cost?

$257

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $1,259 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 7 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$229$135 to $339
FacilityA hospital or hospital-owned outpatient department$1,259$589 to $3,548

How much rates vary

Facilitymedian $1,259 · 10th to 90th $155 to $8,318Professionalmedian $229 · 10th to 90th $83 to $525
$100$200$500$1K$2K$5K$10Kfacility $1,259professional $229

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
$154.88
Median
$1,258.93
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$40.74
Median
$104.71
Typical High
$147.91
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$16.22
Median
$41.69
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$229.09
Typical High
$549.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$40.74
Median
$95.50
Typical High
$177.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.22
Median
$43.65
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$234.42
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,000.00
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$213.80
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$218.78
Typical High
$363.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$309.03
Typical High
$870.96
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
$93.33
Median
$100.00
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,380.38
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$213.80
Typical High
$389.05

Where Illinois sits

The same service costs 2.3 times more in Wisconsin 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· 37th of 51

$257

WI $457WV $200

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.