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Kidney Stone Removal Through The Back

Minnesota 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 $5,248 · 10th–90th $1,413$27,5420%10%10th90th$5,248$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$16,982.44
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,454.71
Typical High
$6,760.83
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,691.53
Typical High
$5,248.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$9,120.11
Typical High
$24,547.09