go back

Bladder and Urethra Scope Exam

Wisconsin 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?

$457

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $2,884 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 11 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$389$186 to $933
FacilityA hospital or hospital-owned outpatient department$2,884$1,445 to $4,266

How much rates vary

Facilitymedian $2,884 · 10th to 90th $631 to $5,754Professionalmedian $389 · 10th to 90th $76 to $1,230
$100$200$500$1K$2K$5Kfacility $2,884professional $389

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
$562.34
Median
$1,698.24
Typical High
$5,370.32
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$125.89
Typical High
$407.38
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$16.22
Median
$50.12
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$407.38
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$125.89
Typical High
$338.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.22
Median
$50.12
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$338.84
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$288.40
Typical High
$870.96
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$457.09
Typical High
$3,801.89
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$630.96
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$363.08
Typical High
$1,122.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$275.42
Network Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$2,951.21
Typical High
$3,235.94
Network Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$812.83
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$204.17
Typical High
$436.52
Quartz
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$309.03
Typical High
$707.95
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,290.87
Typical High
$2,290.87
Quartz
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$954.99
Median
$954.99
Typical High
$1,380.38
Quartz
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$239.88
Median
$239.88
Typical High
$346.74
Quartz
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$338.84
Typical High
$1,584.89
Security Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$1,288.25
Security Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$676.08
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,818.38
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$275.42
Typical High
$758.58

Where Wisconsin 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.

Wisconsin· 1st of 51

$457

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.