How Much Do Urology Services Cost Nationally? (2026 Guide)

National pricing for 6 urologist services with city-level breakdowns.

National Range

$200 – $4,000

Urology pricing covers office work, in-office diagnostic procedures, and surgical procedures. Vasectomy is the most-searched urology cost query — typically $750–$1,500 cash-pay for an in-office no-scalpel procedure, with most commercial insurance covering when not subject to a religious exemption. Cystoscopy ($300–$1,500) and prostate biopsy ($1,000–$4,000) are the most common diagnostic procedures, with significant savings when performed in-office vs. hospital-outpatient. Kidney stone evaluation work-ups run $250–$800, but definitive stone treatments (ESWL, ureteroscopy) reach $5,000–$25,000+ in the hospital setting. ED evaluations are cheap; ED therapies (shockwave, GAINSWave) are cash-pay and add up quickly.

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Urology Services Cost Breakdown

6 services covered. Prices vary by provider — ranges shown.

ServiceRangeUnit
Initial Urology Consult
Sub-specialty (oncology, female urology, pediatric, andrology) commands 15–25% premium
Source: CMS CPT 99204 + AUA patient guidance
$200 – $500/visitInsuranceper new-patient visit (30–45 min)
Cystoscopy (In-Office)
In-office flexible cysto: $300–$700
Source: CMS CPT 52000 + Healthgrades 2026
$300 – $1,500Insuranceper diagnostic flexible cystoscopy
Prostate Biopsy
Office-based TRUS biopsy: $1,000–$2,000
Source: CMS CPT 55700 + AUA 2026 prostate cancer guidelines
$1,000 – $4,000Insuranceper transrectal ultrasound-guided biopsy (12-core)
Vasectomy
In-office no-scalpel vasectomy (most common): $750–$1,500
Source: CMS CPT 55250 + Costhelper + GoodRx 2026
$750 – $3,500Insuranceper in-office no-scalpel vasectomy
Kidney Stone Evaluation
24-hour urine collection (Litholink, Dianon): $150–$400
Source: AUA stone guidelines + CMS imaging codes
$250 – $800/visitInsuranceper metabolic / imaging work-up visit
Erectile Dysfunction Evaluation
Initial consult + bloodwork (testosterone, lipids, glucose): $200–$400
Source: AUA ED guidelines + GoodRx 2026 prescription pricing
$200 – $600/visitInsuranceper comprehensive ED work-up

Frequently Asked Questions

How much do urology services cost in 2026?

Urology Services in the U.S. cover 6 distinct services. $200 – $4,000. Per-service pricing breakdown is in the table below.

What affects urologist pricing the most?

Place of service (office vs. hospital outpatient vs. ASC); Sub-specialty (oncology, andrology, female urology, pediatric); Diagnostic add-ons (uroflowmetry, ultrasound, MRI-fusion biopsy); Pathology fees (separate bill for any biopsy); Insurance coverage for elective procedures (vasectomy, ED therapies); Cash-pay self-pay packages vs. insurance-billed pricing.

How do I find a reliable urologist in my area?

Compare ratings, verify license and credentials, read recent reviews, and request a quote. Vemra's free directory lists verified urology services across the U.S..

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