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Scope Treatment of a Ureterocele in the Bladder

Delaware 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 $7,943 · 10th–90th $4,898$7,9430%50%10th$7,943Professionalmedian $309 · 10th–90th $288$7410%50%10th90th$309$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,943.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$302.00
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$524.81