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Kidney Stone Removal Through The Back

California rates for HCPCS 50080

Removes a stone from the kidney or the funnel where it drains, working through a narrow channel made in the skin of the back. A scope is passed down the channel, and the stone is broken up and lifted out; a drainage tube or stent may be left afterwards. This version covers a straightforward stone; larger, branching, or scattered stones need a more involved operation.

Rates data updated July 2026.

Facilitymedian $7,943 · 10th–90th $3,631$16,9820%10%10th90th$7,943Professionalmedian $776 · 10th–90th $575$1,5850%10%20%10th90th$776$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$7,585.78
Typical High
$22,908.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$15,848.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$9,549.93
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$6,025.60
Typical High
$7,079.46
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$1,621.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$28,183.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$12,022.64
Typical High
$25,118.86