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Kidney Biopsy Through A Surgical Incision

New Hampshire 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 October 2026.

How much does Kidney Biopsy Through A Surgical Incision cost?

$6,392

Typical total for the visit. In New Hampshire, October 2026.

Insurers have agreed to pay about $6,392 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $5,012 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$1,047 to $1,738
Facility feeThe hospital or surgery center$5,012$891 to $14,454

How much rates vary

Facilitymedian $5,012 · 10th to 90th $776 to $23,442Professionalmedian $1,380 · 10th to 90th $813 to $2,512
$500$1K$2K$5K$10K$20Kfacility $5,012professional $1,380

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$14,454.40
Typical High
$24,547.09
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,548.82
Typical High
$2,754.23
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,288.25
Median
$2,344.23
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$549.54
Median
$977.24
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$138.04
Median
$245.47
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$120.23
Median
$218.78
Typical High
$389.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$630.96
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,258.93
Typical High
$2,238.72
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$851.14
Typical High
$2,884.03
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,288.25
Typical High
$2,454.71
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$933.25
Typical High
$2,884.03
United
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,122.02
Typical High
$2,511.89

Where New Hampshire sits

The same service costs 16.9 times more in Maine than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

New Hampshire· 8th of 51

$6,392

$1,380 physician + $5,012 facility

ME $23,956MD $1,413

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.