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Kidney Endoscopy With Tissue Sample

Utah 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 $3,388 · 10th–90th $1,660$6,0260%10%20%10th90th$3,388Professionalmedian $708 · 10th–90th $525$1,2880%20%10th90th$708$50.0$200.0$1.0K$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
$812.83
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,258.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$6,760.83
Typical High
$10,232.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,258.93
Select Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,023.29
Typical High
$1,479.11
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,818.38
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$1,174.90