go back

Idaho rates for HCPCS 50081

Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)

Facilitymedian $5,495 · 10th–90th $2,089–$28,1840%5%10th90th$5,495$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,365.16 / $10,715.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $9,120.11 / $23,988.33
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,365.16 / $12,022.64 / $36,307.81
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,089.30 / $4,466.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $20,892.96 / $29,512.09
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$23,988.33 / $34,673.69 / $44,668.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $22,387.21 / $27,542.29