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Scope of Ureter With Biopsy or Burning of Lesion

Virginia rates for HCPCS 52354

A small scope is passed through the urethra and bladder and up into the ureter or the collecting part of the kidney. An abnormal area found there is sampled for the laboratory, destroyed with an electrical current, or both. It is done under anesthesia and requires no incision.

Rates data updated July 2026.

How much does Scope of Ureter With Biopsy or Burning of Lesion cost?

$3,631

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,631 for this service. Most negotiated rates run $708 to $7,079.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,631 · 10th to 90th $479 to $10,000Professionalmedian $468 · 10th to 90th $355 to $955
$500$1K$2K$5K$10K$20Kfacility $3,631professional $468

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$4,466.84
Typical High
$10,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$954.99
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$870.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63

Where Virginia sits

The same service costs 33.1 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 31st of 51

$3,631

IN $13,804ND $417

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.