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Kidney Endoscopy With Tissue Sample

Illinois rates for HCPCS 50574

Examination of the inside of the kidney with a small scope passed through an opening made into the kidney during the same operation, together with removal of a small piece of tissue for laboratory examination. Rinsing and dye studies of the drainage system may be done at the same time.

Facilitymedian $2,344 · 10th–90th $741$7,7620%5%10th90th$2,344Professionalmedian $676 · 10th–90th $525$1,2880%20%10th90th$676$50.0$200.0$1.0K$5.0K$20.0K

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
$741.31
Median
$1,995.26
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,128.61
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,174.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$2,511.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$707.95
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,187.76
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$1,202.26