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Bladder and Urethra Scope Exam

Kentucky 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?

$302

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $1,820 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$224$105 to $347
FacilityA hospital or hospital-owned outpatient department$1,820$776 to $2,951

How much rates vary

Facilitymedian $1,820 · 10th to 90th $162 to $10,000Professionalmedian $224 · 10th to 90th $79 to $550
$100$500$2K$10Kfacility $1,820professional $224

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
$112.20
Median
$741.31
Typical High
$3,801.89
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$109.65
Typical High
$141.25
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$43.65
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$229.09
Typical High
$645.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$102.33
Typical High
$158.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$41.69
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$218.78
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,511.89
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$199.53
Typical High
$371.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$120.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$199.53
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$239.88
Typical High
$1,258.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,445.44
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$346.74

Where Kentucky 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.

Kentucky· 18th of 51

$302

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.