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Kidney Endoscopy With Tissue Sample

New Hampshire 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 $2,344 · 10th–90th $1,622$9,7720%20%10th90th$2,344Professionalmedian $813 · 10th–90th $537$1,4130%10%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
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,344.23
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,071.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$3,890.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,096.48
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$912.01
Typical High
$1,659.59
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,000.00
Typical High
$1,995.26