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Scope Treatment Of Narrowing Inside The Kidney

Pennsylvania 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?

$479

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $363 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 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$363$324 to $437
FacilityA hospital or hospital-owned outpatient department$4,266$2,630 to $6,761

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,023 to $8,318Professionalmedian $363 · 10th to 90th $302 to $724
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $4,266professional $363

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
$954.99
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$1,096.48
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$676.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$512.86
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$676.08
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,890.45
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$3,630.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$478.63
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,630.78
Typical High
$6,309.57
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$691.83

Where Pennsylvania 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.

Pennsylvania $479 · 39th 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.