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Scope Treatment Of Narrowing Inside The Kidney

New York 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?

$977

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $4,365 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 9 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$417$339 to $617
FacilityA hospital or hospital-owned outpatient department$4,365$2,630 to $6,310

How much rates vary

Facilitymedian $4,365 · 10th to 90th $617 to $9,120Professionalmedian $417 · 10th to 90th $295 to $1,047
$100.0$1.0K$10.0Kfacility $4,365professional $417

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
$467.74
Median
$3,890.45
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$1,258.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$870.96
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,995.26
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$707.95
Typical High
$1,621.81
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$660.69
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$602.56
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$724.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,981.07
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$1,148.15
Univera
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$1,348.96
Univera
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$1,096.48

Where New York 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 York $977 · 10th 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.