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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 July 2026.

Facilitymedian $1,660 · 10th–90th $871$4,4670%10%20%10th90th$1,660Professionalmedian $1,349 · 10th–90th $955$1,5140%20%10th90th$1,349$1.0K$2.0K$5.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,365.16
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,548.82
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,819.70
Typical High
$2,041.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$19,498.45