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Bladder Opened To Remove A Stone From The Ureter

Illinois 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 July 2026.

Facilitymedian $3,236 · 10th–90th $912$9,1200%5%10th90th$3,236Professionalmedian $724 · 10th–90th $537$1,8200%20%10th90th$724$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
$776.25
Median
$2,454.71
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$616.60
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$13,803.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$794.33
Typical High
$1,148.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$2,570.40
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$741.31
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,388.44
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$1,258.93