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Bladder Scope Removal Of A Large Or Difficult Stone

West Virginia 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?

$17,484

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $17,484 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $16,982 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$490 to $617
Facility feeThe hospital or surgery center$16,982$447 to $16,982

How much rates vary

Facilitymedian $16,982 · 10th to 90th $447 to $16,982Professionalmedian $501 · 10th to 90th $447 to $1,000
$500$1K$2K$5K$10Kfacility $16,982professional $501

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
$446.68
Median
$16,982.44
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$501.19
Typical High
$1,000.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$602.56
CareSource
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$676.08
Typical High
$2,951.21
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$831.76

Where West Virginia 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

West Virginia· 2nd of 51

$17,484

$501 physician + $16,982 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.