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Kidney Stone Removal Through The Back

South Dakota 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 October 2026.

How much does Kidney Stone Removal Through The Back cost?

$4,367

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $4,367 for this procedure. That total is two separate charges: $1,549 to the doctor who performs it, and $2,818 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,549$1,148 to $2,042
Facility feeThe hospital or surgery center$2,818$1,259 to $3,311

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,000 to $6,457Professionalmedian $1,549 · 10th to 90th $891 to $2,399
$1K$2K$5K$10Kfacility $2,818professional $1,549

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$691.83
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$3,019.95
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,995.26
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,659.59
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$2,290.87
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$2,041.74
Typical High
$2,041.74
Midlands
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$6,456.54
Typical High
$9,772.37
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,548.82
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$2,137.96
Typical High
$2,398.83
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$1,548.82

Where South Dakota sits

The same service costs 6.6 times more in Colorado than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

South Dakota· 37th of 51

$4,367

$1,549 physician + $2,818 facility

CO $14,612KY $2,222

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.