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Keyhole Removal Of A Stone From The Ureter

Kentucky rates for HCPCS 50945

Removes a stone from the ureter, the tube that carries urine from the kidney down to the bladder, working through a few small incisions with a camera and long instruments. It is used when a stone is too large or too firmly stuck to pass or to be broken up by other means.

Rates data updated July 2026.

How much does Keyhole Removal Of A Stone From The Ureter cost?

$6,442

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

Insurers have agreed to pay about $6,442 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $5,370 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,072$955 to $1,318
Facility feeThe hospital or surgery center$5,370$3,631 to $8,511

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,175 to $10,965Professionalmedian $1,072 · 10th to 90th $912 to $1,905
$1K$2K$5K$10Kfacility $5,370professional $1,072

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
$851.14
Median
$4,897.79
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,000.00
Typical High
$3,090.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,495.41
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,348.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$1,445.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,621.81
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$7,413.10
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$1,905.46

Where Kentucky sits

The same service costs 10.0 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

Kentucky· 29th of 50

$6,442

$1,072 physician + $5,370 facility

IN $19,319WV $1,935

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.