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Bladder Opened To Remove A Stone From The Ureter

Washington, DC rates for HCPCS 51065

Surgery in which the bladder is opened so the surgeon can reach a stone stuck in the lower part of the ureter, the tube draining urine from the kidney. The stone is caught in a small basket and pulled out, or broken into pieces first if it is too large to come free whole.

Rates data updated October 2026.

How much does Bladder Opened To Remove A Stone From The Ureter cost?

$676

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $676 for this service. Most negotiated rates run $617 to $1,820.

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.

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,288 to $19,953Professionalmedian $631 · 10th to 90th $562 to $3,548
$500$1K$2K$5K$10K$20Kfacility $5,129professional $631

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$4,073.80
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$630.96
CareFirst
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$630.96
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$724.44
Typical High
$2,089.30
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$575.44
Typical High
$1,318.26
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$5,754.40
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$831.76
Typical High
$1,584.89

Where Washington, DC sits

The same service costs 5.2 times more in Alaska than in Utah. 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.

Washington, DC· 46th of 51

$676

AK $2,344UT $447

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.