go back

Scope Treatment of a Ureterocele in the Bladder

Minnesota 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 $1,148 · 10th–90th $575$10,2330%5%10%10th90th$1,148Professionalmedian $676 · 10th–90th $363$1,1220%5%10%10th90th$676$50.0$200.0$1.0K$5.0K$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
$269.15
Median
$269.15
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$6,309.57
Typical High
$15,848.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,318.26
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$2,187.76
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$8,317.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$588.84
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,248.07
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$616.60
Typical High
$1,148.15