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Kidney Stone Removal Through The Back

Wisconsin 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 $15,136 · 10th–90th $5,012$26,9150%10%10th90th$15,136Professionalmedian $1,585 · 10th–90th $1,000$2,6920%10%20%10th90th$1,585$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
$707.95
Median
$16,218.10
Typical High
$17,782.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$16,982.44
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,089.30
Typical High
$3,388.44
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$7,244.36
Typical High
$13,489.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$8,317.64
Typical High
$15,848.93
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$9,332.54
Typical High
$15,848.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$2,089.30
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$2,691.53
Quartz
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$28,183.83
Typical High
$28,183.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,302.69
Typical High
$16,218.10