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Kidney Biopsy Through A Surgical Incision

Illinois 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?

$1,514

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $1,514 for this service. Most negotiated rates run $1,122 to $4,169.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,862 · 10th to 90th $813 to $9,772Professionalmedian $1,230 · 10th to 90th $759 to $3,802
$100.0$500.0$2.0K$10.0Kfacility $1,862professional $1,230

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
$812.83
Median
$1,621.81
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$407.38
Median
$630.96
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$12,589.25
Typical High
$23,988.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,230.27
Typical High
$3,801.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,818.38
Typical High
$7,413.10

Where Illinois sits

The same service costs 26.9 times more in Maine than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $1,514 · 37th of 50
ME $19,498WV $724

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.