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Bladder Scope Removal Of A Large Or Difficult Stone

Illinois rates for HCPCS 52318

A scope is passed through the urethra into the bladder, where a stone is broken into smaller pieces and removed, without any external incision. This version applies to a large or otherwise difficult stone, as opposed to a smaller, more straightforward one handled with a related, simpler version of the same procedure.

Rates data updated July 2026.

How much does Bladder Scope Removal Of A Large Or Difficult Stone cost?

$3,267

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $3,267 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $2,692 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$575$479 to $891
Facility feeThe hospital or surgery center$2,692$1,148 to $5,370

How much rates vary

Facilitymedian $2,692 · 10th to 90th $479 to $9,772Professionalmedian $575 · 10th to 90th $437 to $1,148
$1$10$100$1K$10Kfacility $2,692professional $575

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
$478.63
Median
$2,089.30
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,128.61
Typical High
$11,220.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$831.76
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$645.65
Typical High
$977.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$2,454.71
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
$549.54
Median
$588.84
Typical High
$645.65
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
$467.74
Median
$645.65
Typical High
$1,047.13

Where Illinois sits

The same service costs 12.7 times more in South Dakota than in Montana. 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.

Physician feeFacility fee

Illinois· 40th of 51

$3,267

$575 physician + $2,692 facility

SD $17,508MT $1,375

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.