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Kidney Endoscopy With Tissue Sample

West Virginia 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 October 2026.

How much does Kidney Endoscopy With Tissue Sample cost?

$776

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $468 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$776$537 to $1,514
FacilityA hospital or hospital-owned outpatient department$468$380 to $1,230

How much rates vary

Facilitymedian $468 · 10th to 90th $151 to $4,677Professionalmedian $776 · 10th to 90th $490 to $1,738
$50$200$1K$5Kfacility $468professional $776

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$562.34
CareSource
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$398.11
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$870.96
Typical High
$3,548.13
United
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$436.52
Typical High
$9,772.37
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$691.83
Typical High
$1,513.56

Where West Virginia sits

The same service costs 3.9 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 32nd of 51

$776

AK $2,239UT $575

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.