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Bladder and Urethra Scope Exam

West 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?

$200

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $1,349 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 5 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$170$91.20 to $229
FacilityA hospital or hospital-owned outpatient department$1,349$832 to $1,950

How much rates vary

Facilitymedian $1,349 · 10th to 90th $617 to $3,388Professionalmedian $170 · 10th to 90th $78 to $447
$50$100$200$500$1K$2K$5Kfacility $1,349professional $170

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
$616.60
Median
$1,348.96
Typical High
$3,162.28
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$38.02
Median
$38.02
Typical High
$109.65
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$15.14
Median
$15.14
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$169.82
Typical High
$446.68
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$87.10
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.14
Median
$22.91
Typical High
$54.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$107.15
CareSource
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$194.98
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$234.42
Typical High
$1,258.93
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,630.27
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,949.84
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$169.82
Typical High
$331.13

Where West 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.

West Virginia· 51st of 51

$200

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.