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Scope Treatment Of Narrowing Inside The Kidney

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $3,090 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 7 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$437$363 to $708
FacilityA hospital or hospital-owned outpatient department$3,090$1,905 to $4,266

How much rates vary

Facilitymedian $3,090 · 10th to 90th $355 to $5,623Professionalmedian $437 · 10th to 90th $309 to $1,023
$100.0$1.0K$10.0Kfacility $3,090professional $437

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
$1,778.28
Median
$3,311.31
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$1,122.02
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$4,265.80
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$501.19
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$1,000.00
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$380.19
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$489.78
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$954.99
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$4,265.80
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$501.19
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$1,412.54

Where Massachusetts 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.

Massachusetts $550 · 34th 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.