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Kidney Endoscopy With Tissue Sample

North Dakota 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 $562 · 10th–90th $525$8,5110%20%10th90th$562Professionalmedian $851 · 10th–90th $525$1,3800%10%20%10th90th$851$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$588.84
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,023.29
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,344.23
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$1,412.54