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Kidney Endoscopy With Cauterizing Or Incision

Utah rates for HCPCS 50576

Examination of the inside of the kidney with a small scope passed through an opening made into the kidney during the same operation. Abnormal tissue is destroyed with heat or a narrowed area is cut open, and a tissue sample may be taken at the same time.

Rates data updated July 2026.

Facilitymedian $3,388 · 10th–90th $813$6,0260%10%10th90th$3,388Professionalmedian $813 · 10th–90th $537$1,8620%10%20%10th90th$813$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
$812.83
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$812.83
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,380.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$18,197.01
Typical High
$27,542.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,174.90
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$891.25
Typical High
$1,047.13
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,174.90