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Telescope Surgery To Open A Blocked Kidney Outlet

Iowa 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.

Facilitymedian $6,761 · 10th–90th $1,023$13,4900%10%10th90th$6,761Professionalmedian $1,047 · 10th–90th $661$4,0740%10%10th90th$1,047$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,023.29
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,659.59
Typical High
$1,995.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,258.93
Typical High
$2,398.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,786.30
Typical High
$13,803.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,445.44
Typical High
$5,248.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,698.24
Typical High
$2,570.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,862.09
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,000.00
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,202.26
Typical High
$2,238.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,479.11