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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 July 2026.

Facilitymedian $3,020 · 10th–90th $437$4,5710%10%10th90th$3,020Professionalmedian $331 · 10th–90th $54$9770%10%10th90th$331$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$331.13
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$269.15
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$288.40
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$1,995.26
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,445.44
Median
$1,995.26
Typical High
$3,019.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$123.03
Typical High
$645.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$691.83
Typical High
$812.83
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$524.81
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$288.40
Typical High
$588.84