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Open Removal Of A Kidney Stone

West 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?

$1,259

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,122 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 4 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$1,259$1,148 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,122$1,122 to $1,413

How much rates vary

Facilitymedian $1,122 · 10th to 90th $1,122 to $1,514Professionalmedian $1,259 · 10th to 90th $1,122 to $1,698
$50$100$200$500$1K$2K$5Kfacility $1,122professional $1,259

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
$1,122.02
Median
$1,122.02
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,202.26
Typical High
$1,348.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,513.56
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$2,089.30

Where West 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.

West Virginia· 51st of 51

$1,259

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.