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Closure of a Kidney-to-Organ Fistula

Maine rates for HCPCS 50525

Surgery to close an abnormal channel that has formed between the kidney or its drainage system and a neighbouring internal organ, such as the bowel. The surgeon separates the two structures, closes the opening on the urinary side, and repairs the other organ as well. It stops urine leaking where it should not go and puts an end to repeated infection.

Rates data updated July 2026.

How much does Closure of a Kidney-to-Organ Fistula cost?

$1,995

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,995 for this service. Most negotiated rates run $1,738 to $2,630.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,498 · 10th to 90th $18,197 to $26,303Professionalmedian $1,995 · 10th to 90th $1,514 to $3,020
$2K$5K$10K$20Kfacility $19,498professional $1,995

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$1,995.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$19,498.45
Typical High
$26,302.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,238.72
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,995.26
Typical High
$3,235.94
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$3,388.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,089.30
Typical High
$3,162.28

Where Maine sits

The same service costs 5.4 times more in California 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.

Maine· 25th of 51

$1,995

CA $7,943WV $1,479

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.