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Kidney Endoscopy With Ureter Catheter Placement

Indiana 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 $4,266 · 10th–90th $1,148$8,3180%10%10th90th$4,266Professionalmedian $617 · 10th–90th $490$1,0720%10%20%10th90th$617$500.0$1.0K$2.0K$5.0K$10.0K

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
$588.84
Median
$3,801.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$537.03
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,174.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$524.81
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,818.38
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$1,023.29