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Telescope Surgery To Open A Blocked Kidney Outlet

Georgia 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?

$5,548

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

Insurers have agreed to pay about $5,548 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $4,571 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$977$759 to $1,259
Facility feeThe hospital or surgery center$4,571$2,188 to $6,918

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,380 to $9,550Professionalmedian $977 · 10th to 90th $692 to $1,585
$1K$2K$5K$10K$20Kfacility $4,571professional $977

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
$851.14
Median
$4,570.88
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$851.14
Typical High
$1,584.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,365.16
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$6,309.57
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,659.59

Where Georgia 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

Georgia· 20th of 50

$5,548

$977 physician + $4,571 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.