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Scope Treatment Of Scarring At The Bladder Outlet

Washington, DC 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 October 2026.

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

$407

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

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $347 to $1,202.

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 $4,074 · 10th to 90th $1,202 to $19,953Professionalmedian $355 · 10th to 90th $324 to $1,660
$500$1K$2K$5K$10K$20Kfacility $4,074professional $355

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
$346.74
Median
$3,548.13
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$870.96
CareFirst
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$354.81
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$407.38
Typical High
$1,202.26
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$338.84
Typical High
$741.31
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
$302.00
Median
$457.09
Typical High
$891.25

Where Washington, DC sits

The same service costs 7.8 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

$407

OK $2,042UT $263

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.