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Scope Treatment Of Kidney Outlet Narrowing

New York 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?

$4,571

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $2,818 to $7,413.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,571 · 10th to 90th $562 to $10,965
$500$1K$2K$5K$10Kfacility $4,571

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
$416.87
Median
$3,467.37
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,995.26
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$5,754.40
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$588.84
Typical High
$1,122.02
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,981.07
Typical High
$9,549.93
Univera
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$1,202.26

Where New York 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.

New York· 16th of 50

$4,571

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.