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Scope Treatment Of Narrowing Inside The Kidney

New Jersey 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 New Jersey, 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 $6,761 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 5 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 $631
FacilityA hospital or hospital-owned outpatient department$6,761$4,898 to $9,333

How much rates vary

Facilitymedian $6,761 · 10th to 90th $3,467 to $10,965Professionalmedian $389 · 10th to 90th $302 to $5,888
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,761professional $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
$3,467.37
Median
$6,918.31
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$1,000.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$562.34
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$11,220.18
Typical High
$15,848.93
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$741.31

Where New Jersey 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.

New Jersey $550 · 32nd 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.