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Scope Removal Of Blocking Tissue In The Urethra

Illinois 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 July 2026.

Facilitymedian $2,291 · 10th–90th $813$9,3330%5%10th90th$2,291Professionalmedian $794 · 10th–90th $490$2,5700%10%10th90th$794$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
$676.08
Median
$1,949.84
Typical High
$9,332.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$5,128.61
Typical High
$11,220.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$2,570.40
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,388.44
Typical High
$7,585.78