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Scope Treatment of a Ureterocele in the Bladder

Nevada 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 $2,570 · 10th–90th $295$7,7620%10%20%10th90th$2,570Professionalmedian $309 · 10th–90th $269$1,5140%20%40%10th90th$309$5.0$20.0$100.0$500.0$2.0K$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
$295.12
Median
$2,570.40
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,025.60
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$380.19
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$512.86
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$302.00
Typical High
$436.52
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$251.19
Typical High
$251.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,187.76
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$346.74
Typical High
$707.95