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Telescope Surgery To Open A Blocked Kidney Outlet

Tennessee 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?

$5,157

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

Insurers have agreed to pay about $5,157 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $4,266 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$891$724 to $1,096
Facility feeThe hospital or surgery center$4,266$2,630 to $6,918

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,820 to $9,333Professionalmedian $891 · 10th to 90th $692 to $2,042
$100$200$500$1K$2K$5K$10Kfacility $4,266professional $891

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
$1,621.81
Median
$2,691.53
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,380.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$5,370.32
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$1,445.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$15,488.17
Typical High
$15,488.17
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,623.41
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,621.81

Where Tennessee 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

Tennessee· 26th of 50

$5,157

$891 physician + $4,266 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.