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Scope Treatment Of Narrowing Inside The Kidney

Ohio 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?

$631

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $4,266 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 8 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$427$355 to $603
FacilityA hospital or hospital-owned outpatient department$4,266$2,089 to $7,943

How much rates vary

Facilitymedian $4,266 · 10th to 90th $891 to $10,965Professionalmedian $427 · 10th to 90th $324 to $5,754
$10.0$100.0$1.0K$10.0Kfacility $4,266professional $427

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
$645.65
Median
$6,606.93
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$436.52
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,019.95
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$758.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$537.03
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$691.83
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$691.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,168.69
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$676.08

Where Ohio 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.

Ohio $631 · 24th 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.