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Kidney Endoscopy With Tissue Sample

Maryland 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 $1,738 · 10th–90th $427$7,2440%20%10th90th$1,738Professionalmedian $646 · 10th–90th $501$1,1750%20%10th90th$646$500.0$1.0K$2.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$1,174.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$1,122.02
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$776.25