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Telescope Surgery To Open A Blocked Kidney Outlet

Indiana 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?

$16,282

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

Insurers have agreed to pay about $16,282 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $15,488 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 $1,047
Facility feeThe hospital or surgery center$15,488$9,550 to $22,909

How much rates vary

Facilitymedian $15,488 · 10th to 90th $1,479 to $25,704Professionalmedian $794 · 10th to 90th $661 to $1,380
$1K$2K$5K$10K$20Kfacility $15,488professional $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
$794.33
Median
$1,380.38
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$724.44
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$18,197.01
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,584.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,348.96

Where Indiana 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

Indiana· 1st of 50

$16,282

$794 physician + $15,488 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.