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Kidney Biopsy Through A Surgical Incision

Kentucky 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?

$8,511

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $8,511 for this service. Most negotiated rates run $912 to $10,715.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,511 · 10th to 90th $832 to $11,220
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $8,511

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
$741.31
Median
$912.01
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$371.54
Median
$457.09
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,715.19
Typical High
$13,182.57
CareSource
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$4,466.84
Typical High
$28,183.83

Where Kentucky 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.

Kentucky $8,511 · 8th 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.