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Bladder Scope Removal Of A Large Or Difficult Stone

North Carolina 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?

$3,838

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $3,838 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $3,236 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$603$468 to $1,072
Facility feeThe hospital or surgery center$3,236$759 to $6,166

How much rates vary

Facilitymedian $3,236 · 10th to 90th $457 to $7,244Professionalmedian $603 · 10th to 90th $457 to $1,413
$100$500$2K$10Kfacility $3,236professional $603

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
$457.09
Median
$4,365.16
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$1,318.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$1,202.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$1,096.48
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45

Where North Carolina 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

North Carolina· 33rd of 51

$3,838

$603 physician + $3,236 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.