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Kidney Endoscopy With Tissue Sample

Montana 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 $955 · 10th–90th $955$1,1750%50%90th$955Professionalmedian $813 · 10th–90th $562$1,8620%10%20%10th90th$813$100.0$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
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$954.99
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,174.90
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$831.76
Typical High
$1,096.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$660.69
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$1,513.56