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Bladder and Urethra Scope Exam

Montana 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?

$263

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $347 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$263$209 to $380
FacilityA hospital or hospital-owned outpatient department$347$148 to $447

How much rates vary

Facilitymedian $347 · 10th to 90th $138 to $1,905Professionalmedian $263 · 10th to 90th $123 to $871
$100$1K$10Kfacility $347professional $263

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
$165.96
Median
$1,348.96
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$263.03
Typical High
$870.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$154.88
Typical High
$691.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$61.66
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$338.84
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$208.93
Typical High
$380.19
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$426.58
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$426.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$213.80
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$489.78

Where Montana 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.

Montana· 33rd of 51

$263

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.