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Kidney Endoscopy With Tissue Sample

Michigan 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 $2,818 · 10th–90th $1,585$4,8980%20%10th90th$2,818Professionalmedian $646 · 10th–90th $525$1,1480%10%20%10th90th$646$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$2,041.74
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$870.96
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,778.28
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$1,071.52
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,818.38
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$954.99