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Scope Treatment of a Ureterocele in the Bladder

Rhode Island 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 $3,715 · 10th–90th $2,570$7,7620%10%20%10th90th$3,715Professionalmedian $355 · 10th–90th $295$5370%20%10th90th$355$200.0$500.0$1.0K$2.0K$5.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$562.34