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Kidney Biopsy Through A Surgical Incision

Wisconsin 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 Wisconsin, July 2026.

Insurers have agreed to pay about $8,511 for this service. Most negotiated rates run $3,090 to $12,303.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,000 · 10th to 90th $2,692 to $18,197Professionalmedian $1,820 · 10th to 90th $1,122 to $3,020
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $10,000professional $1,820

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
$1,513.56
Typical High
$14,454.40
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$371.54
Median
$371.54
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$3,548.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$7,244.36
Typical High
$13,489.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$2,818.38
Typical High
$7,943.28
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,479.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$870.96
Typical High
$1,548.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,819.70
Typical High
$2,570.40
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,677.35
Typical High
$4,677.35
Quartz
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$3,715.35
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,754.40
Typical High
$20,892.96

Where Wisconsin 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.

Wisconsin $8,511 · 7th 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.