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Scope Treatment of a Ureterocele in the Bladder

Kansas 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 $3,162 · 10th–90th $589$8,5110%5%10%10th90th$3,162Professionalmedian $372 · 10th–90th $282$5620%20%10th90th$372$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
$1,174.90
Median
$3,801.89
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$602.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,047.13
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$2,630.27
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$512.86