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Bladder and Urethra Scope Exam

Missouri 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?

$275

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $1,413 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$123 to $282
FacilityA hospital or hospital-owned outpatient department$1,413$724 to $2,630

How much rates vary

Facilitymedian $1,413 · 10th to 90th $251 to $7,079Professionalmedian $224 · 10th to 90th $78 to $447
$50$200$1K$5Kfacility $1,413professional $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
$117.49
Median
$1,202.26
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$36.31
Median
$45.71
Typical High
$138.04
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$14.79
Median
$18.20
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$234.42
Typical High
$501.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$37.15
Median
$102.33
Typical High
$141.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.14
Median
$41.69
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$204.17
Typical High
$309.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$6,025.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$199.53
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$208.93
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$407.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$371.54
Typical High
$12,022.64
Medica
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Medica
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,047.13
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$213.80
Typical High
$380.19

Where Missouri 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.

Missouri· 28th of 51

$275

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.