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Scope Treatment of a Ureterocele in the Bladder

Mississippi 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 $1,514 · 10th–90th $562$5,1290%10%10th90th$1,514Professionalmedian $457 · 10th–90th $269$7940%10%20%10th90th$457$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
$776.25
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$562.34
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$457.09
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,754.23
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$660.69