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Kidney Stone Removal Through The Back

Tennessee 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 $3,802 · 10th–90th $1,096$10,0000%5%10%10th90th$3,802$100.0$500.0$2.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,570.40
Typical High
$6,456.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$8,128.31
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$28,183.83
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,754.40
Typical High
$10,471.29