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Keyhole Kidney Stone Removal, Larger Stone

California rates for HCPCS 50081

Removes stones from the kidney through a narrow tunnel made in the flank, with a scope passed directly into the kidney so stones can be broken up and the fragments taken out. This is the version used when the stone burden is on the larger side, which takes longer and more often needs more than one path or a second session. A drainage tube or stent is usually left in afterwards.

Rates data updated July 2026.

Facilitymedian $8,128 · 10th–90th $3,981$16,9820%10%10th90th$8,128Professionalmedian $1,230 · 10th–90th $794$2,3440%10%20%10th90th$1,230$50.0$200.0$1.0K$5.0K$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
$4,168.69
Median
$9,120.11
Typical High
$23,988.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$15,848.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$9,549.93
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$6,025.60
Typical High
$7,079.46
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$1,513.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$2,511.89
Kaiser Permanente
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$28,183.83
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$12,022.64
Typical High
$25,118.86