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Scope Treatment Of Narrowing Inside The Kidney

Kentucky rates for HCPCS 52343

A telescope is passed through the urethra into the bladder and instruments are advanced up the ureter to treat a narrowed passage inside the kidney's own collecting system. The narrowing is opened with a balloon, a laser, or a small cut, restoring the flow of urine.

Rates data updated July 2026.

How much does Scope Treatment Of Narrowing Inside The Kidney cost?

$550

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $3,388 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$339 to $468
FacilityA hospital or hospital-owned outpatient department$3,388$1,995 to $5,888

How much rates vary

Facilitymedian $3,388 · 10th to 90th $794 to $8,511Professionalmedian $389 · 10th to 90th $324 to $776
$50.0$200.0$1.0K$5.0Kfacility $3,388professional $389

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
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$549.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$512.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$2,398.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$660.69

Where Kentucky sits

The same service costs 12.6 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $550 · 35th of 51
CA $4,571WV $363

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.