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Open Removal of a Stone From the Kidney

Maine rates for HCPCS 50130

Open surgery that cuts into the funnel-shaped collecting area of the kidney, where urine gathers before draining toward the bladder, and lifts out a stone lodged there. It is used when a stone cannot be cleared by less invasive means such as shock wave treatment or a scope.

Facilitymedian $19,498 · 10th–90th $18,197$26,3030%20%40%10th90th$19,498Professionalmedian $1,318 · 10th–90th $1,047$2,1880%20%10th90th$1,318$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$2,290.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$19,498.45
Typical High
$26,302.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,584.89
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$2,290.87
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$2,041.74
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$2,238.72