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Bladder Stone Removal Via Scope (Smaller Stone)

Hawaii rates for HCPCS 52317

A doctor passes a scope through the urethra into the bladder, then breaks up a bladder stone and removes the fragments, all without any external incision. This version is used for a smaller, more straightforward stone.

Rates data updated July 2026.

Facilitymedian $2,884 · 10th–90th $871$2,8840%50%10th$2,884Professionalmedian $1,202 · 10th–90th $355$3,7150%5%10th90th$1,202$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$870.96
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$812.83
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$933.25
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$912.01
Typical High
$1,445.44
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,513.56
Typical High
$3,981.07