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Kidney Biopsy Through A Surgical Incision

New York 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?

$5,623

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $2,951 to $9,333.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,023 to $12,589
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $5,623

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
$912.01
Median
$3,019.95
Typical High
$10,232.93
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$338.84
Median
$467.74
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$2,818.38
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,073.80
Typical High
$9,120.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$977.24
Typical High
$2,238.72

Where New York 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.

New York $5,623 · 14th 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.