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Scope Removal Of Blocking Tissue In The Urethra

West Virginia 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?

$2,225

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $2,225 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $1,549 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$676$457 to $1,288
Facility feeThe hospital or surgery center$1,549$1,413 to $2,455

How much rates vary

Facilitymedian $1,549 · 10th to 90th $1,202 to $4,677Professionalmedian $676 · 10th to 90th $417 to $1,445
$500$1K$2K$5K$10Kfacility $1,549professional $676

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
$1,412.54
Median
$1,412.54
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$478.63
CareSource
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,862.09
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$741.31
Typical High
$3,630.78
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$9,772.37
United
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$645.65
Typical High
$1,288.25

Where West Virginia sits

The same service costs 4.7 times more in Colorado than in Montana. 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.

Physician feeFacility fee

West Virginia· 45th of 51

$2,225

$676 physician + $1,549 facility

CO $6,874MT $1,466

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.