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Open Removal of a Stone From the Kidney

Michigan 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 $4,898 · 10th–90th $1,318$4,8980%50%10th$4,898Professionalmedian $1,175 · 10th–90th $955$2,2910%20%10th90th$1,175$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,318.26
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,621.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$2,290.87
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,230.27
Typical High
$3,235.94
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,090.30
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$2,089.30
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,202.26
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,890.45
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$1,737.80