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Scope Treatment of a Ureterocele in the Bladder

Texas 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 $3,631 · 10th–90th $631$10,9650%5%10%10th90th$3,631Professionalmedian $339 · 10th–90th $269$7410%10%20%10th90th$339$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
$812.83
Median
$3,311.31
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,897.79
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$446.68
Christus
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$602.56
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$45,708.82
Typical High
$45,708.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,398.83
Typical High
$2,398.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$645.65
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$457.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$645.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,467.37
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$512.86
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$251.19
Typical High
$338.84