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Kidney Endoscopy With Ureter Catheter Placement

Michigan 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 $2,042 · 10th–90th $676$4,8980%20%10th90th$2,042Professionalmedian $646 · 10th–90th $490$1,0720%20%10th90th$646$200.0$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
$676.08
Median
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$1,659.59
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$851.14
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,621.81
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$891.25