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Telescope Surgery To Open A Blocked Kidney Outlet

South Carolina 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?

$9,561

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $9,561 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $8,710 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$724 to $912
Facility feeThe hospital or surgery center$8,710$1,413 to $15,488

How much rates vary

Facilitymedian $8,710 · 10th to 90th $871 to $22,387Professionalmedian $851 · 10th to 90th $692 to $1,445
$50$200$1K$5K$20Kfacility $8,710professional $851

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
$870.96
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$851.14
Typical High
$977.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$9,549.93
Typical High
$15,848.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,258.93
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$16,595.87
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,479.11

Where South Carolina 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

South Carolina· 7th of 50

$9,561

$851 physician + $8,710 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.