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Removal Of A Kidney Drainage Tube, With X-ray Guidance

Utah rates for HCPCS 50389

A tube that was placed through the skin directly into the kidney to drain urine is removed, using live X-ray imaging to guide the process and confirm it comes out safely. This is used when a temporary kidney drainage tube is no longer needed.

Rates data updated October 2026.

How much does Removal Of A Kidney Drainage Tube, With X-ray Guidance cost?

$1,541

Typical total for the visit. In Utah, October 2026.

Insurers have agreed to pay about $1,541 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $1,202 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$339$89.13 to $417
Facility feeThe hospital or surgery center$1,202$437 to $2,818

How much rates vary

Facilitymedian $1,202 · 10th to 90th $78 to $4,169Professionalmedian $339 · 10th to 90th $69 to $575
$50$100$200$500$1K$2K$5Kfacility $1,202professional $339

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
$77.62
Median
$2,951.21
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$331.13
Typical High
$501.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$371.54
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$354.81
Typical High
$691.83
Molina
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$338.84
Typical High
$416.87
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$1,995.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$128.82
Typical High
$575.44
Select Health
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Select Health
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$501.19
Typical High
$758.58
United
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$1,202.26
Typical High
$2,818.38
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$295.12
Typical High
$676.08
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$3,019.95

Where Utah sits

The same service costs 5.7 times more in New York 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

Utah· 9th of 51

$1,541

$339 physician + $1,202 facility

NY $2,925MD $509

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.