A private urologist consultation in the UK commonly costs around £200–£350, although some clinics charge less and specialist appointments can cost more. Follow-up appointments often cost approximately £150–£200. Urine tests, blood tests, scans and procedures are usually additional unless a package explicitly includes them.
The total depends on the problem being investigated. A consultation and simple tests may cost several hundred pounds, while assessment involving cystoscopy, prostate MRI or biopsy can run into the thousands.
This guide explains published self-pay fees, what different investigations involve and how to compare quotations. Prices were checked in August 2026 and are examples rather than a national tariff or a personalised treatment quote.
Do not wait for a private appointment if you suddenly cannot pass urine, develop sudden severe testicular pain, or become seriously unwell with urinary symptoms. These problems need urgent assessment.
How much does a private urologist cost in the UK?
The consultation fee usually covers the specialist’s assessment, not every investigation that might follow. Some services offer combined appointments and tests; others bill the consultant, hospital and laboratory separately.
| Service | Indicative cost or published example | Important qualification |
|---|---|---|
| Initial consultation | Commonly around £200–£350 | Lower and higher fees are available |
| Follow-up consultation | Often around £150–£200 | Remote appointments may have different fees |
| PSA blood test | A standalone published example is £49 | Specialist interpretation may cost extra |
| Urine culture | A published rapid-culture example is £95 | This is not the same as a basic urine dipstick |
| Urine flow assessment and bladder-volume scan | A published combined price is £225 | Check whether consultation is separate |
| Flexible cystoscopy | Published prices start around £595; other packages exceed £2,000 | Consultation, biopsy and professional fees vary |
| Urodynamics | A published assessment price is £1,250 | A more detailed investigation than a simple flow test |
For example, Manchester Urology lists £250 for a new consultation and £190 for follow-up. The Vesey advertises consultations from £260, follow-ups from £180 and a standalone PSA test at £49.
The urine culture, flow-and-bladder-scan and urodynamics examples above come from The Urology Partnership’s published fee list. They illustrate possible charges, not average prices across the UK.
What might the complete assessment cost?
A useful budget includes the first appointment, likely investigations and an explanation of the results. The cheapest consultation is not necessarily the cheapest route to a clear treatment plan.
These calculations illustrate how separate charges accumulate. They are not quotations from a particular clinic.
| Illustrative assessment | Example calculation | Total |
|---|---|---|
| Consultation and follow-up only | £250 + £175 | £425 |
| Consultation, flow-and-bladder scan, and follow-up | £250 + £225 + £175 | £650 |
| Consultation, £800 cystoscopy and separate results review | £250 + £800 + £175 | £1,225 |
Further scans, laboratory work or biopsies would increase these totals. Conversely, a package may include follow-up, and some problems can be managed without extensive testing.
Before booking, ask: “What is the likely cost from the first consultation through to discussing my results, and which parts cannot be priced until I have been assessed?”
What does a urologist assess during the consultation?
Urologists treat problems involving the kidneys, ureters, bladder and urethra, alongside conditions affecting the prostate, testicles, penis and male reproductive system. Urology is not exclusively a service for men: women also see urologists for bladder symptoms, stones, recurrent infections and other urinary problems.
The appointment may explore:
- difficulty starting urination or a weak stream;
- frequency, urgency, leakage or getting up at night;
- blood in the urine;
- recurrent infections;
- kidney stone symptoms;
- testicular swelling or discomfort;
- erectile or ejaculation problems;
- previous operations, medicines and relevant family history.
An examination may be recommended according to your symptoms. This could involve the abdomen, genitals or a rectal examination to assess the prostate. The clinician should explain what is proposed, obtain consent and offer appropriate chaperone arrangements.
Bring previous results, scan reports, a medication list and any referral letter. If you have urinary frequency or leakage, ask whether completing a bladder diary beforehand would help.
Our guides explain enlarged prostate symptoms, overactive bladder and erectile dysfunction investigations.
Which urine, blood and bladder-function tests might you need?
Tests should answer a specific clinical question. Not everyone needs a comprehensive panel, cystoscopy or scan.
Urine tests
A dipstick provides a quick check for findings such as blood or signs suggesting infection. A urine culture is a laboratory test used to investigate bacterial infection and may help guide antibiotic selection.
These services can have separate charges. Ask whether sample collection, laboratory processing and results interpretation are included. Our guide to urine test results explains common findings.
Blood tests
Depending on your symptoms, blood tests may assess kidney function, investigate infection or measure PSA. The clinician should explain which tests are relevant rather than automatically requesting an extensive screening package.
A raised PSA does not necessarily mean prostate cancer: enlargement and inflammation can also affect the result. Equally, a reassuring result cannot exclude every cancer. See Prostate Cancer UK’s explanation of PSA testing.
Follow preparation instructions and tell the clinician about recent urinary infection or procedures. Our guides cover PSA results and kidney blood tests.
Flow tests and residual-volume scans
Uroflowmetry measures the speed and pattern of urination. A scan performed afterwards can measure how much urine remains in the bladder. Ask whether both are included and whether you should arrive with a comfortably full bladder.
Urodynamics
Urodynamics examines bladder function in more detail, usually using pressure measurements during filling and emptying. It is not simply another name for a flow test and is not required for every urinary complaint.
How much do ultrasound, CT and prostate MRI cost?
Imaging prices depend on the body area, scan technique, reporting arrangements and whether the investigation is part of a package.
Possible investigations include:
- Kidney and bladder ultrasound: to assess urinary tract structures and, where requested, bladder emptying;
- Scrotal ultrasound: to investigate a lump, swelling or other testicular concern;
- CT: for selected problems such as suspected stones or investigation of blood in the urine;
- Prostate MRI: to assess the prostate when clinically indicated.
A limited bladder scan should not be compared directly with a full kidney-and-bladder ultrasound. Likewise, a prostate MRI may require a specific protocol and specialist interpretation.
As one published example, The Urology Partnership advertises an MRI-and-clinic prostate package at £850. However, a package’s name does not establish that it is appropriate screening for everyone or that further tests will be unnecessary.
Ask whether the quote includes contrast if required, the radiologist’s report, a copy of the images and a consultation to discuss the findings. Our guide to private MRI, CT and ultrasound costs explains broader pricing differences.
How much does a private cystoscopy cost?
A cystoscopy examines the urethra and bladder using a thin instrument with a camera. It may be recommended for blood in the urine or selected bladder and urinary symptoms.
Published flexible cystoscopy prices vary considerably:
- GenesisCare advertises prices from £595;
- Northway Clinic lists £795, with an additional £200 if biopsy and histological examination are needed;
- Circle Health Group advertises flexible cystoscopy from £1,230, with appropriate aftercare appointments included.
These are not necessarily equivalent packages. A low headline price may exclude the initial consultation or other professional fees.
Flexible versus rigid cystoscopy
Flexible cystoscopy is usually performed with local anaesthetic gel while you are awake. A rigid cystoscopy generally involves general or spinal anaesthesia and may allow additional treatment.
The NHS cystoscopy guide explains these differences. Discomfort varies, so discuss pain relief and any previous difficult experiences before the procedure.
Ask whether your quote includes a biopsy, tissue analysis, anaesthesia, results review and treatment of any finding. Looking inside the bladder is not the same as paying for removal of a bladder tumour or another therapeutic procedure.
What do prostate biopsies and other urology procedures cost?
Procedure prices depend on technique, anaesthesia, hospital stay and what the package includes. A local-anaesthetic outpatient biopsy should not be compared directly with a more extensive theatre-based procedure.
The Urology Partnership lists a local-anaesthetic prostate biopsy at £1,750 and vasectomy under local anaesthetic at £975, including one semen analysis. These are individual provider examples rather than national averages.
For larger procedures, the distinction between hospital charges and the complete bill is particularly important. The following are published starting estimates from Cleveland Clinic London’s urology self-pay page.
| Procedure | Published starting estimate |
|---|---|
| Transperineal template-guided prostate biopsy | £3,740 |
| MRI–ultrasound fusion targeted prostate biopsy | £5,235 |
| Transurethral resection of the prostate, or TURP | £4,910 |
| Holmium laser treatment for prostate enlargement, or HoLEP | £7,440 |
These should not be treated as guaranteed all-inclusive totals. The provider identifies potential additional charges including consultant and anaesthetist fees, extra hospital nights and postoperative care.
Stone treatment may also involve several stages: an initial procedure, a temporary stent, stent removal and follow-up imaging. Ask for the expected cost of the entire treatment course, including what happens if a second procedure is needed.
For prostate concerns, our guide to prostate cancer diagnosis and treatment explains why MRI, biopsy and treatment are separate decisions.
Which additional costs should you check?
Before accepting a quotation, ask the clinic to identify what is included and what may be charged separately.
Potential additions include:
- consultant, hospital and anaesthetist fees;
- blood and urine collection and laboratory processing;
- biopsy analysis, also called histology;
- prescription administration and the medicine itself;
- catheter supplies, catheter removal or a trial without catheter;
- stent insertion and later removal;
- repeat scans or repeat stone-treatment sessions;
- additional hospital nights;
- follow-up appointments and management of complications.
Ask whether receiving a report is included but discussing it requires another appointment. Also clarify who will contact you about an urgent result and who you should call after a procedure if you develop a problem.
The phrase “fixed price” is only useful when the included treatment, exclusions and aftercare period are clearly defined.
Do you need a referral, and will insurance cover the cost?
Some private urologists accept self-referrals from patients paying directly. Others prefer or require a GP or specialist referral. Check before booking, particularly if you already have abnormal results that need prompt assessment.
If you have insurance, confirm:
- whether a GP referral is required;
- whether the consultant and hospital are recognised;
- your outpatient testing limit and excess;
- whether scans and procedures need separate authorisation;
- whether professional fees could exceed the insurer’s allowance;
- whether the particular condition or treatment is excluded.
Do not assume a policy covers pre-existing urinary symptoms, routine screening, fertility investigations or elective procedures. Cover varies, as explained in Bupa’s guide to common insurance exclusions.
Our guide to private health insurance excess explains another potential personal cost.
Paying for a private consultation does not remove your access to NHS care, but it does not automatically move you ahead on an NHS waiting list. If you intend to return to NHS treatment, discuss referral arrangements and sharing results before paying for investigations.
How do you choose the right private urologist?
Choose expertise that matches your symptoms. Urologists may focus on stones, prostate enlargement, cancer, bladder dysfunction, reconstructive surgery, fertility or sexual medicine.
Check the doctor’s registration and relevant specialist entry through the GMC medical register. Ask whether they regularly manage your particular problem and which investigations are available at the clinic.
Useful questions include:
- Is this the right specialist for my symptoms?
- What does the first appointment include?
- Can you use my existing scans and laboratory results?
- Will any proposed same-day tests be priced before I agree?
- What are the alternatives to the proposed procedure?
- Who will discuss the results with me?
- What happens if I need urgent treatment or NHS referral?
For surgery, ask about likely benefits, recovery and relevant effects on continence, sexual function or fertility. A higher price or newer technology does not by itself establish that a treatment is the best choice for you.
When should you seek urgent help instead of comparing prices?
Some urological symptoms need prompt or emergency care rather than a routine private appointment.
Blood in the urine
Arrange an urgent GP assessment or contact the appropriate urgent-care service if you see blood in your urine, even if it happens once, is painless or involves only a small amount. The NHS blood-in-urine guidance advises getting it checked.
Sudden inability to pass urine
If you cannot pass urine at all, seek urgent medical help immediately, particularly if your lower abdomen feels painful or swollen. Do not wait for a routine scan. Acute retention may need prompt drainage with a catheter.
Sudden testicular pain
Sudden severe testicular pain is an emergency. Go to A&E immediately or call 999, as advised in the NHS testicle-pain guidance. One possible cause is testicular torsion, where delayed treatment can damage the testicle.
A new testicular lump also needs medical assessment, even if it does not hurt. Our guide to testicular lumps and cancer symptoms explains what to look for.
Urinary symptoms with fever or serious illness
Fever, shaking chills, vomiting or pain in the back or side can indicate a kidney infection and need urgent assessment. Confusion, marked drowsiness, collapse or breathing difficulty require emergency help. See the NHS kidney infection guidance.
Frequently asked questions
How much is a first private urologist appointment?
A practical starting estimate is £200–£350. Some providers charge less, while specialist or longer appointments may cost more. Investigations are not automatically included.
How much does a follow-up cost?
Many published fees are around £150–£200. Telephone reviews may cost less, and postoperative follow-up may be included in a procedure package.
Can I see a urologist without private insurance?
Yes. You can pay directly as a self-pay patient. Request a written quotation and clarify which charges are payable separately.
Does the consultation include a prostate check?
The clinician will assess what is appropriate for your symptoms. A physical examination may be included, but PSA testing, ultrasound or MRI can attract separate charges.
Does a raised PSA mean I need a biopsy?
Not automatically. The next step depends on the result, your history, examination and other findings. Repeat testing or MRI may be appropriate before deciding about biopsy.
How much is a private flexible cystoscopy?
Published examples start around £595, while some packages exceed £2,000. Compare the complete scope, including consultation, biopsy, laboratory analysis and aftercare.
Do women see urologists?
Yes. Urologists assess urinary tract problems in women as well as men, including stones, recurrent infections, bladder symptoms and blood in the urine.
Can a GP investigate urinary symptoms first?
Yes. A GP can assess symptoms, arrange appropriate initial tests and refer when needed. You do not have to pay privately to have concerning symptoms investigated.
Can I return to the NHS after a private consultation?
Yes, subject to the usual referral and clinical assessment processes. Ask for copies of reports and a clear handover plan; private assessment does not guarantee faster NHS treatment.
What is the most important question before booking?
“What will the complete assessment or treatment cost, including tests, professional fees and follow-up?” An itemised answer is more useful than a low headline consultation price.
