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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 October 2026.

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

$5,273

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $5,273 for this procedure. That total is two separate charges: $2,455 to the doctor who performs it, and $2,818 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,455$1,820 to $3,020
Facility feeThe hospital or surgery center$2,818$1,778 to $3,311

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,622 to $6,457Professionalmedian $2,455 · 10th to 90th $1,288 to $3,548
$1K$2K$5K$10Kfacility $2,818professional $2,455

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$4,365.16
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,258.93
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$3,019.95
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,630.27
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$3,388.44
Typical High
$8,912.51
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,019.95
Typical High
$3,019.95
Midlands
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$6,456.54
Typical High
$9,772.37
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,905.46
Typical High
$2,187.76
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$3,162.28
Typical High
$3,548.13
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,454.71
Typical High
$2,454.71

Where South Dakota sits

The same service costs 5.0 times more in Alaska than in Kentucky. 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.

Physician feeFacility fee

South Dakota· 37th of 51

$5,273

$2,455 physician + $2,818 facility

AK $15,182KY $3,040

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.