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Open Removal Of A Kidney Stone

Virginia 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?

$1,549

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $5,623 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 8 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$1,349$1,259 to $1,698
FacilityA hospital or hospital-owned outpatient department$5,623$1,778 to $14,791

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,349 to $18,621Professionalmedian $1,349 · 10th to 90th $1,148 to $2,570
$1K$2K$5K$10K$20Kfacility $5,623professional $1,349

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
$1,348.96
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,288.25
Typical High
$1,698.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$16,595.87
Typical High
$22,908.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$2,137.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$2,754.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$3,162.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,905.46
Typical High
$2,754.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$2,511.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$5,623.41
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,388.44
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,479.11
Typical High
$2,398.83

Where Virginia 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.

Virginia· 33rd of 51

$1,549

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.