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Bladder and Urethra Scope Exam

New Jersey 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?

$251

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $4,169 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$115 to $295
FacilityA hospital or hospital-owned outpatient department$4,169$1,549 to $6,026

How much rates vary

Facilitymedian $4,169 · 10th to 90th $245 to $8,511Professionalmedian $224 · 10th to 90th $78 to $575
$100$200$500$1K$2K$5K$10Kfacility $4,169professional $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
$218.78
Median
$4,265.80
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$69.18
Typical High
$208.93
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$27.54
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$229.09
Typical High
$616.60
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$40.74
Median
$87.10
Typical High
$141.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.22
Median
$34.67
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$147.91
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$295.12
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$245.47
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$223.87
Typical High
$354.81
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,137.96
Typical High
$3,388.44
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$208.93
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$181.97
Typical High
$389.05

Where New Jersey 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.

New Jersey· 41st of 51

$251

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.