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Bladder Scope Removal Of A Stone Or Object, Complicated Case

Illinois rates for HCPCS 52315

A scope is passed through the urethra into the bladder or urethra to remove a stone, a stent left over from a prior procedure, or another foreign object, without any external incision. This version applies to a more involved, complicated case, compared to a straightforward removal handled with a related, simpler version of the same procedure.

Rates data updated July 2026.

How much does Bladder Scope Removal Of A Stone Or Object, Complicated Case cost?

$525

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $1,738 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$479$331 to $646
FacilityA hospital or hospital-owned outpatient department$1,738$759 to $4,074

How much rates vary

Facilitymedian $1,738 · 10th to 90th $468 to $5,888Professionalmedian $479 · 10th to 90th $275 to $977
$500$1K$2K$5K$10Kfacility $1,738professional $479

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
$467.74
Median
$1,584.89
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,019.95
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$467.74
Typical High
$794.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$660.69
Typical High
$1,862.09
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
$323.59
Median
$346.74
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$870.96

Where Illinois sits

The same service costs 4.1 times more in Hawaii than in Michigan. 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.

Illinois· 32nd of 51

$525

HI $1,778MI $437

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.