go back

Bladder and Urethra Scope Exam

Maine 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?

$229

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $646 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 6 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$209$115 to $288
FacilityA hospital or hospital-owned outpatient department$646$269 to $692

How much rates vary

Facilitymedian $646 · 10th to 90th $102 to $1,479Professionalmedian $209 · 10th to 90th $89 to $355
$100$200$500$1K$2K$5Kfacility $646professional $209

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
$102.33
Median
$645.65
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$208.93
Typical High
$302.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$91.20
Typical High
$151.36
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$36.31
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$177.83
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$251.19
Typical High
$501.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$234.42
Typical High
$416.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$645.65
Typical High
$1,548.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$208.93
Typical High
$302.00
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$40.74
Median
$91.20
Typical High
$134.90
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.22
Median
$36.31
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$446.68

Where Maine 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.

Maine· 47th of 51

$229

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.