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Scope Treatment of a Ureterocele in the Bladder

Connecticut 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 $3,467$10,4710%10%10th90th$6,761Professionalmedian $513 · 10th–90th $282$8510%10%10th90th$513$200.0$500.0$1.0K$2.0K$5.0K$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
$3,467.37
Median
$6,165.95
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$11,748.98
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$588.84
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$831.76
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$831.76