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California rates for HCPCS 50400

Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple

Facilitymedian $10,965 · 10th–90th $4,074$18,6210%10%10th90th$10,965Professionalmedian $1,445 · 10th–90th $1,096$4,2660%20%10th90th$1,445$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $10,000.00 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,348.96 / $3,801.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $11,748.98 / $20,417.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,819.70 / $3,630.78
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $3,801.89 / $7,079.46
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,737.80 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,445.44 / $3,311.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,148.15 / $1,445.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,288.25 / $3,019.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $7,079.46
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $10,471.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,584.89 / $2,454.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,445.44 / $3,019.95
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,288.25 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $9,772.37 / $20,417.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,412.54 / $3,311.31