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Kidney Endoscopy With Tissue Sample

New Jersey 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 $5,370 · 10th–90th $2,512$10,7150%10%20%10th90th$5,370Professionalmedian $631 · 10th–90th $501$1,8620%10%20%10th90th$631$100.0$500.0$2.0K$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
$2,754.23
Median
$5,495.41
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$831.76
Typical High
$1,905.46
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$691.83
Typical High
$933.25
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$11,220.18
Typical High
$17,378.01
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$1,174.90