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Scope Treatment Of Narrowing Inside The Kidney

South Dakota 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?

$603

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $933 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$603$380 to $776
FacilityA hospital or hospital-owned outpatient department$933$537 to $3,548

How much rates vary

Facilitymedian $933 · 10th to 90th $417 to $4,365Professionalmedian $603 · 10th to 90th $288 to $977
$500.0$1.0K$2.0K$5.0Kfacility $933professional $603

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$616.60
Typical High
$3,162.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$741.31
Typical High
$812.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$676.08
Typical High
$954.99
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$741.31

Where South Dakota 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.

South Dakota $603 · 28th 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.