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Bladder Scope Exam With Tissue Sample

Washington 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.

Facilitymedian $891 · 10th–90th $224$10,0000%5%10th90th$891Professionalmedian $468 · 10th–90th $155$1,0230%10%10th90th$468$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$1,000.00
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$467.74
Typical High
$1,071.52
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$257.04
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$6,309.57
Typical High
$11,220.18
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$457.09
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$446.68
Typical High
$1,096.48
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$588.84
Typical High
$2,570.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$467.74
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$794.33
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$524.81
Typical High
$524.81
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$512.86
Typical High
$933.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,165.95
Typical High
$10,964.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$457.09
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$6,456.54
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$426.58
Typical High
$977.24
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$512.86