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Bladder Scope Removal Of A Stone Or Object, Complicated Case

Kentucky 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?

$550

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $2,754 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$427$302 to $550
FacilityA hospital or hospital-owned outpatient department$2,754$1,698 to $5,129

How much rates vary

Facilitymedian $2,754 · 10th to 90th $851 to $15,136Professionalmedian $427 · 10th to 90th $269 to $891
$200$500$1K$2K$5K$10K$20Kfacility $2,754professional $427

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
$331.13
Median
$1,288.25
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$1,318.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,235.94
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$707.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$407.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$4,897.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,467.37
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$776.25

Where Kentucky 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.

Kentucky· 23rd of 51

$550

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.