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Scope Treatment Of Scarring At The Bladder Outlet

Georgia 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?

$3,802

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $1,698 to $5,495.

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 $3,802 · 10th to 90th $977 to $7,413Professionalmedian $398 · 10th to 90th $309 to $1,318
$500$1K$2K$5K$10Kfacility $3,802professional $398

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
$562.34
Median
$4,570.88
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,090.30
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,890.45
Typical High
$6,918.31

Where Georgia sits

The same service costs 31.6 times more in Indiana than in West Virginia. 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.

Georgia· 20th of 50

$3,802

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.