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Kidney Biopsy Through A Surgical Incision

Ohio 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?

$7,943

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $7,943 for this service. Most negotiated rates run $2,512 to $12,589.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,943 · 10th to 90th $1,072 to $16,982
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $7,943

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
$831.76
Median
$7,079.46
Typical High
$12,589.25
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$380.19
Median
$724.44
Typical High
$1,258.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$9,549.93
Typical High
$21,379.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,174.90
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,884.03
Typical High
$5,754.40

Where Ohio 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.

Ohio $7,943 · 11th 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.