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Scope Treatment Of Narrowing Inside The Kidney

Virginia 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?

$468

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $4,074 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$398$363 to $562
FacilityA hospital or hospital-owned outpatient department$4,074$575 to $7,079

How much rates vary

Facilitymedian $4,074 · 10th to 90th $389 to $9,550Professionalmedian $398 · 10th to 90th $324 to $3,388
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,074professional $398

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
$588.84
Median
$5,128.61
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$616.60
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$912.01
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$794.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$512.86
Typical High
$758.58
Sentara
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$741.31

Where Virginia 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.

Virginia $468 · 42nd 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.