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Kidney Stone Removal Through The Back

Washington, DC 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 $4,074 · 10th–90th $1,413$7,7620%10%10th90th$4,074Professionalmedian $692 · 10th–90th $646$1,7380%20%40%10th90th$692$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$4,073.80
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$16,218.10
Typical High
$50,118.72