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Bladder and Urethra Scope Exam

New Mexico 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?

$269

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $631 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$135 to $355
FacilityA hospital or hospital-owned outpatient department$631$295 to $2,089

How much rates vary

Facilitymedian $631 · 10th to 90th $102 to $3,090Professionalmedian $263 · 10th to 90th $79 to $871
$50$100$200$500$1K$2K$5Kfacility $631professional $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
$102.33
Median
$602.56
Typical High
$1,479.11
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$56.23
Median
$58.88
Typical High
$165.96
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$22.39
Median
$23.44
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$263.03
Typical High
$912.01
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$38.90
Median
$123.03
Typical High
$213.80
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.49
Median
$50.12
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,570.40
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$186.21
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$218.78
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$331.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$257.04
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$2,630.27
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$218.78
Typical High
$398.11

Where New Mexico 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 Mexico· 32nd of 51

$269

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.