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Scope Treatment of a Ureterocele in the Bladder

Nationwide rates for HCPCS 52301

A thin telescope is passed along the urine channel into the bladder, and a ureterocele — a balloon-like swelling at the end of the tube bringing urine down from the kidney — is cut open or destroyed so urine can drain freely. It is done entirely through the natural opening, with no external incision.

Rates data updated July 2026.

Facilitymedian $4,571 · 10th–90th $661$12,0230%5%10%10th90th$4,571Professionalmedian $363 · 10th–90th $269$1,0470%20%10th90th$363$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$630.96
Median
$4,073.80
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$1,258.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$5,888.44
Typical High
$13,803.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,000.00
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$436.52
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,168.69
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$707.95