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Kidney Endoscopy With Tissue Sample

Maine 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 $7,244 · 10th–90th $7,244$7,2440%50%100%$7,244Professionalmedian $724 · 10th–90th $575$1,1750%20%10th90th$724$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
$562.34
Median
$691.83
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$851.14
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$794.33
Typical High
$1,230.27
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,096.48
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,380.38