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Bladder Scope Exam With Tissue Sample

Maine rates for HCPCS 52204

A procedure in which a thin, lighted scope is passed through the urethra to examine the inside of the bladder and urethra, with one or more small tissue samples taken during the same visit for laboratory analysis. It is used to investigate abnormal findings such as blood in the urine or a suspicious area seen on prior imaging.

Rates data updated July 2026.

How much does Bladder Scope Exam With Tissue Sample cost?

$6,820

Typical total for the visit. In Maine, July 2026.

Insurers have agreed to pay about $6,820 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $6,457 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$363$182 to $501
Facility feeThe hospital or surgery center$6,457$4,571 to $6,457

How much rates vary

Facilitymedian $6,457 · 10th to 90th $589 to $9,772Professionalmedian $363 · 10th to 90th $158 to $617
$200$500$1K$2K$5K$10Kfacility $6,457professional $363

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
$4,365.16
Median
$6,456.54
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$302.00
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$323.59
Typical High
$794.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$389.05
Typical High
$691.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$6,165.95
Typical High
$9,772.37
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$363.08
Typical High
$776.25

Where Maine sits

The same service costs 10.5 times more in Delaware than in North Dakota. 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.

Physician feeFacility fee

Maine· 3rd of 50

$6,820

$363 physician + $6,457 facility

DE $7,949ND $760

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.