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Telescope Surgery To Open A Blocked Kidney Outlet

Missouri 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 $2,512 · 10th–90th $724$5,6230%5%10th90th$2,512Professionalmedian $851 · 10th–90th $661$1,6220%20%10th90th$851$100.0$500.0$2.0K$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
$776.25
Median
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$707.95
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$954.99
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$1,348.96
Typical High
$10,715.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,148.15
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,737.80