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Kidney Stone Removal Through The Back

Michigan 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 $4,898 · 10th–90th $891$15,4880%10%10th90th$4,898$1.0K$2.0K$5.0K$10.0K$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
$891.25
Median
$3,715.35
Typical High
$6,918.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,398.83
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$8,912.51
Typical High
$19,498.45