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Open Removal Of A Kidney Stone

New Jersey 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?

$1,413

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $6,918 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,288$1,122 to $1,660
FacilityA hospital or hospital-owned outpatient department$6,918$4,467 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,778 to $11,749Professionalmedian $1,288 · 10th to 90th $955 to $3,090
$1K$2K$5K$10Kfacility $6,918professional $1,288

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$3,090.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$1,995.26
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,318.26
Typical High
$2,570.40

Where New Jersey 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.

New Jersey· 42nd of 51

$1,413

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.