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Telescope Surgery To Open A Blocked Kidney Outlet

Arizona 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?

$5,472

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

Insurers have agreed to pay about $5,472 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $4,677 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$794$708 to $891
Facility feeThe hospital or surgery center$4,677$2,344 to $6,918

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,585 to $8,318Professionalmedian $794 · 10th to 90th $661 to $1,698
$1K$2K$5K$10Kfacility $4,677professional $794

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
$2,041.74
Median
$4,677.35
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$724.44
Typical High
$3,715.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$7,244.36
Typical High
$13,803.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,071.52
Typical High
$8,128.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,623.41
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$1,348.96

Where Arizona 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

Arizona· 23rd of 50

$5,472

$794 physician + $4,677 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.