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Kidney Endoscopy With Tissue Sample

Ohio 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.

Rates data updated July 2026.

How much does Kidney Endoscopy With Tissue Sample cost?

$977

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $2,630 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$676$562 to $1,000
FacilityA hospital or hospital-owned outpatient department$2,630$1,820 to $4,786

How much rates vary

Facilitymedian $2,630 · 10th to 90th $1,000 to $10,715Professionalmedian $676 · 10th to 90th $525 to $2,630
$10.0$100.0$1.0K$10.0Kfacility $2,630professional $676

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,162.28
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,238.72
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$1,122.02
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$1,122.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,511.89
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$1,122.02

Where Ohio sits

The same service costs 5.5 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Ohio $977 · 22nd of 51
CA $3,236WV $589

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.