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Telescope Surgery To Open A Blocked Kidney Outlet

Illinois 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 $3,236 · 10th–90th $708$9,7720%10%10th90th$3,236Professionalmedian $871 · 10th–90th $661$1,6220%20%10th90th$871$50.0$200.0$1.0K$5.0K$20.0K

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
$707.95
Median
$1,621.81
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$741.31
Typical High
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$7,762.47
Typical High
$16,982.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$977.24
Typical High
$1,479.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$2,818.38
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$891.25
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,370.32
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,584.89