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Scope Treatment Of Kidney Outlet Narrowing

Illinois rates for HCPCS 52342

A scope passed through the urinary tract treats a narrowed spot where the kidney drains into the ureter. The narrowing may be stretched with a balloon or opened with a laser, heat, or a small cut. Treatment happens during the same scope visit.

Rates data updated July 2026.

How much does Scope Treatment Of Kidney Outlet Narrowing cost?

$1,778

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $1,778 for this service. Most negotiated rates run $813 to $4,571.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $589 to $9,333Professionalmedian $501 · 10th to 90th $331 to $1,445
$200$500$1K$2K$5K$10K$20Kfacility $2,138professional $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
$588.84
Median
$1,862.09
Typical High
$9,332.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,128.61
Typical High
$7,244.36
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$1,445.44
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,388.44
Typical High
$7,585.78

Where Illinois sits

The same service costs 35.5 times more in Indiana than in West Virginia. 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.

Illinois· 40th of 50

$1,778

IN $10,233WV $288

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.