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Open Removal Of A Kidney Stone

Maine rates for HCPCS 50070

An operation in which the kidney is reached through an incision in the flank and opened so that a stone can be taken out directly. It is used when a stone cannot be treated with shock waves or through a scope, for instance because of its size or the shape of the kidney.

Rates data updated July 2026.

How much does Open Removal Of A Kidney Stone cost?

$1,622

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,622 for this service. Most negotiated rates run $1,318 to $1,995.

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.

How much rates vary

Facilitymedian $19,498 · 10th to 90th $18,197 to $26,303Professionalmedian $1,622 · 10th to 90th $1,202 to $2,344
$1K$2K$5K$10K$20Kfacility $19,498professional $1,622

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
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$1,698.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$19,498.45
Typical High
$26,302.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,778.28
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,621.81
Typical High
$2,630.27
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$2,630.27
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$2,570.40

Where Maine sits

The same service costs 3.9 times more in California 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.

Maine· 26th of 51

$1,622

CA $4,898WV $1,259

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.