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Kidney Endoscopy With Ureter Catheter Placement

Montana 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 $912 · 10th–90th $891$1,0960%50%10th90th$912Professionalmedian $912 · 10th–90th $661$2,7540%20%40%10th90th$912$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
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$812.83
Typical High
$891.25
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$912.01
Typical High
$1,096.48
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$912.01
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,023.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$630.96
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,318.26