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Scope Treatment Of Kidney Outlet Narrowing

Pennsylvania 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?

$4,266

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,266 for this service. Most negotiated rates run $2,630 to $6,761.

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.

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,023 to $8,318
$500$1K$2K$5K$10Kfacility $4,266

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
$954.99
Median
$4,786.30
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,890.45
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,238.72
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$10,471.29

Where Pennsylvania 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.

Pennsylvania· 21st of 50

$4,266

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.