Kidney Biopsy Through A Surgical Incision

Nationwide rates for HCPCS 50205

Takes a sample of kidney tissue for laboratory examination by opening the skin and muscle to expose the kidney directly, rather than passing a needle in through the skin. The open route is chosen when a needle sample would be unsafe or has already failed to give an answer. The tissue is then examined under a microscope to explain kidney damage or disease.

Rates data updated July 2026.

How much does Kidney Biopsy Through A Surgical Incision cost?

$7,288

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,288 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $6,166 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

15% physician fee85% facility fee

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 50 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$1,122	$832 to $1,585
Facility feeThe hospital or surgery center	The hospital or surgery center	$6,166	$2,399 to $11,482

How much rates vary

Facilitymedian $6,166 · 10th to 90th $1,000 to $15,849Professionalmedian $1,122 · 10th to 90th $692 to $2,344

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $870.96 Median $4,073.80 Typical High $11,748.98	Facility	Global	$870.96	$4,073.80	$11,748.98
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $346.74 Median $457.09 Typical High $954.99	Facility	52 · Reduced service	$346.74	$457.09	$954.99
BCBS Setting Facility Modifier Global Typical Low $3,630.78 Median $9,772.37 Typical High $19,498.45	Facility	Global	$3,630.78	$9,772.37	$19,498.45
Cigna Setting Facility Modifier Global Typical Low $851.14 Median $1,995.26 Typical High $7,079.46	Facility	Global	$851.14	$1,995.26	$7,079.46
Cigna Setting Facility Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00	Facility	52 · Reduced service	$1,000.00	$1,000.00	$1,000.00
United Setting Facility Modifier Global Typical Low $851.14 Median $3,090.30 Typical High $9,772.37	Facility	Global	$851.14	$3,090.30	$9,772.37

What it costs in each state

The same service costs 7.7 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

WI $11,820MD $1,532

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.