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Scope Treatment Of Kidney Outlet Narrowing

North Carolina 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?

$1,175

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $490 to $6,457.

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 $1,175 · 10th to 90th $302 to $8,710
$500$1K$2K$5K$10Kfacility $1,175

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
$302.00
Median
$1,288.25
Typical High
$8,709.64
Medcost
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$12,882.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$45,708.82

Where North Carolina 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.

North Carolina· 43rd of 50

$1,175

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.