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Kidney Endoscopy With Ureter Catheter Placement

Hawaii rates for HCPCS 50572

Examination of the inside of the kidney with a small scope passed through an opening made into the kidney during the same operation. A catheter is passed down into the ureter, the tube that drains urine to the bladder, and a narrowed segment may be stretched open. Rinsing and dye studies of the drainage system may be done at the same time.

Rates data updated July 2026.

Facilitymedian $2,884 · 10th–90th $1,000$2,8840%50%10th$2,884Professionalmedian $575 · 10th–90th $457$9120%20%10th90th$575$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$660.69
HMSA
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,023.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$549.54
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$758.58
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$575.44
Typical High
$933.25