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Scope Removal Of Blocking Tissue In The Urethra

Washington, DC rates for HCPCS 52400

Passes a scope along the urethra and cuts or burns away flaps of tissue that obstruct the flow of urine, a blockage present from birth. Clearing the obstruction lets the bladder empty properly and protects the kidneys from back pressure. No skin incision is made.

Rates data updated October 2026.

How much does Scope Removal Of Blocking Tissue In The Urethra cost?

$589

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $589 for this service. Most negotiated rates run $501 to $1,698.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,202 to $19,953Professionalmedian $513 · 10th to 90th $457 to $2,239
$500$1K$2K$5K$10K$20Kfacility $3,981professional $513

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$501.19
Median
$3,090.30
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$537.03
CareFirst
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$512.86
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$588.84
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$467.74
Typical High
$1,071.52
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$5,754.40
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$691.83
Typical High
$1,288.25

Where Washington, DC sits

The same service costs 8.1 times more in Oklahoma than in Utah. 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.

Washington, DC· 45th of 51

$589

OK $2,951UT $363

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.