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Scope Treatment of a Ureterocele in the Bladder

Arizona 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 $3,631 · 10th–90th $1,175$7,7620%5%10%10th90th$3,631Professionalmedian $324 · 10th–90th $269$1,5140%20%10th90th$324$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$2,187.76
Median
$4,265.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,754.23
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$436.52
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,019.95
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$549.54