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Scope Treatment Of Scarring At The Bladder Outlet

Montana 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?

$1,038

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $1,038 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $525 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$331 to $513
Facility feeThe hospital or surgery center$525$513 to $603

How much rates vary

Facilitymedian $525 · 10th to 90th $447 to $2,754Professionalmedian $513 · 10th to 90th $79 to $562
$100$200$500$1K$2K$5Kfacility $525professional $513

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$407.38
Typical High
$724.44
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$2,754.23
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$512.86
Typical High
$588.84
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$512.86
Typical High
$549.54
Providence
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$2,754.23
Typical High
$7,943.28
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$426.58
Typical High
$512.86
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$524.81
Typical High
$741.31

Where Montana sits

The same service costs 6.3 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

Montana· 51st of 51

$1,038

$513 physician + $525 facility

CO $6,515MT $1,038

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.