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Scope Treatment Of Scarring At The Bladder Outlet

New York 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.

Facilitymedian $4,786 · 10th–90th $550$10,9650%5%10%10th90th$4,786$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$3,715.35
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,698.24
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$5,011.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$1,174.90
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,630.78
Typical High
$5,754.40
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$8,511.38
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,981.07
Typical High
$9,549.93
Univera
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$1,288.25