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Kidney Endoscopy With Tissue Sample

Kentucky 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 $1,778 · 10th–90th $550$10,7150%10%10th90th$1,778Professionalmedian $646 · 10th–90th $525$8910%10%20%10th90th$646$50.0$200.0$1.0K$5.0K

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
$524.81
Median
$1,778.28
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$831.76
CareSource
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,621.81
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$1,096.48