go back

Bladder and Urethra Scope Exam

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $603 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 8 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$240$75.86 to $550
FacilityA hospital or hospital-owned outpatient department$603$195 to $1,000

How much rates vary

Facilitymedian $603 · 10th to 90th $60 to $4,898Professionalmedian $240 · 10th to 90th $74 to $661
$100$200$500$1K$2K$5Kfacility $603professional $240

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
$60.26
Median
$602.56
Typical High
$4,897.79
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$40.74
Median
$40.74
Typical High
$107.15
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$16.22
Median
$16.22
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$239.88
Typical High
$660.69
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.88
Median
$107.15
Typical High
$120.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$42.66
Typical High
$47.86
Avera
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$323.59
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$331.13
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$478.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$436.52
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$281.84
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$524.81
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$524.81

Where South Dakota 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.

South Dakota· 30th 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.