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Kidney Stone Removal Through The Back

Maine 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 $16,596 · 10th–90th $10,965$16,5960%20%40%10th$16,596$10.0K

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
$10,964.78
Median
$10,964.78
Typical High
$16,595.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45