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Keyhole Kidney Stone Removal, Larger Stone

South Dakota 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.

How much does Keyhole Kidney Stone Removal, Larger Stone cost?

$2,188

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $2,188 for this service. Most negotiated rates run $1,905 to $8,710.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,710 · 10th to 90th $3,311 to $9,550Professionalmedian $2,089 · 10th to 90th $1,514 to $2,399
$1K$2K$5K$10Kfacility $8,710professional $2,089

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$8,709.64
Typical High
$9,549.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,630.27
Typical High
$3,019.95
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,089.30
Typical High
$2,187.76
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$19,498.45

Where South Dakota sits

The same service costs 14.1 times more in West Virginia than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 49th of 50

$2,188

WV $28,840MT $2,042

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.