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Scope Treatment Of Scarring At The Bladder Outlet

Colorado rates for HCPCS 52640

A scope is passed along the urethra to the bladder outlet, where scar tissue that formed after earlier surgery has narrowed the opening. The scar is cut or shaved away so urine can flow freely again. Nothing is cut on the outside, as all the work is done through the natural passage.

Rates data updated July 2026.

How much does Scope Treatment Of Scarring At The Bladder Outlet cost?

$6,457

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $6,457 for this service. Most negotiated rates run $4,074 to $10,000.

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 $6,457 · 10th to 90th $1,585 to $13,183Professionalmedian $437 · 10th to 90th $427 to $1,622
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,457professional $437

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
$1,584.89
Median
$5,128.61
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$630.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$436.52
Typical High
$1,621.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$10,471.29

Where Colorado sits

The same service costs 31.6 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $6,457 · 6th of 50
IN $9,333WV $295

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.