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Bladder and Urethra Scope Exam

Virginia 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?

$240

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $589 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$209$102 to $288
FacilityA hospital or hospital-owned outpatient department$589$214 to $2,570

How much rates vary

Facilitymedian $589 · 10th to 90th $115 to $5,370Professionalmedian $209 · 10th to 90th $85 to $417
$100$200$500$1K$2K$5K$10Kfacility $589professional $209

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
$144.54
Median
$630.96
Typical High
$5,888.44
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$42.66
Median
$69.18
Typical High
$213.80
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$16.98
Median
$27.54
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$208.93
Typical High
$416.87
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$42.66
Median
$74.13
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.98
Median
$29.51
Typical High
$54.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$199.53
Typical High
$380.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$208.93
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$251.19
Typical High
$676.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$562.34
Medcost
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$218.78
Typical High
$398.11
Sentara
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$144.54
Typical High
$2,951.21
Sentara
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,949.84
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$181.97
Typical High
$363.08

Where Virginia 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.

Virginia· 45th of 51

$240

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.