go back

Telescope Surgery To Open A Blocked Kidney Outlet

Alaska rates for HCPCS 50575

A telescope is passed into the kidney's collecting system through a small opening in the side, and the narrowed point where the kidney drains into the ureter is cut open to relieve the holdup. A stent is usually left across the area while it heals.

Rates data updated July 2026.

How much does Telescope Surgery To Open A Blocked Kidney Outlet cost?

$3,800

Typical total for the visit. In Alaska, July 2026.

Insurers have agreed to pay about $3,800 for this procedure. That total is two separate charges: $2,512 to the doctor who performs it, and $1,288 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,512$977 to $3,388
Facility feeThe hospital or surgery center$1,288$851 to $3,388

How much rates vary

Facilitymedian $1,288 · 10th to 90th $708 to $10,965Professionalmedian $2,512 · 10th to 90th $708 to $4,571
$100$200$500$1K$2K$5K$10Kfacility $1,288professional $2,512

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. 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
Global
Typical Low
$2,187.76
Median
$9,772.37
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,258.93
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$2,511.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$4,677.35
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,511.89
Typical High
$5,011.87
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$4,466.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$4,677.35
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,548.82
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,995.26
Typical High
$4,570.88

Where Alaska sits

The same service costs 11.6 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

Alaska· 35th of 50

$3,800

$2,512 physician + $1,288 facility

IN $16,282WV $1,401

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.