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Kidney Biopsy Through A Surgical Incision

Utah 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?

$1,349

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $1,349 for this service. Most negotiated rates run $1,047 to $3,388.

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 $3,388 · 10th to 90th $1,023 to $6,026Professionalmedian $1,202 · 10th to 90th $617 to $1,698
$1K$2K$5K$10Kfacility $3,388professional $1,202

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
$1,023.29
Median
$3,388.44
Typical High
$6,025.60
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,202.26
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,466.84
Typical High
$13,803.84

Where Utah sits

The same service costs 26.9 times more in Maine than in West Virginia. 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.

Utah· 42nd of 50

$1,349

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.