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Scope Treatment of a Ureterocele in the Bladder

Colorado 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 $6,761 · 10th–90th $708$13,8040%5%10%10th90th$6,761Professionalmedian $355 · 10th–90th $288$1,1480%20%10th90th$355$100.0$500.0$2.0K$10.0K

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
$288.40
Median
$5,495.41
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$588.84
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$1,412.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$478.63
Typical High
$537.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$446.68
Typical High
$724.44