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Scope Treatment Where The Ureter Meets The Kidney

South Dakota rates for HCPCS 52345

A fine scope is passed through the urethra and bladder and up the ureter to the point where it joins the kidney, to treat a narrowing there. The narrowed segment is opened using a balloon, a cutting instrument or a laser so urine drains freely from the kidney again. A stent is usually left in place for a while afterwards.

Rates data updated July 2026.

How much does Scope Treatment Where The Ureter Meets The Kidney cost?

$676

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $676 for this service. Most negotiated rates run $589 to $759.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,072 · 10th to 90th $479 to $4,365Professionalmedian $661 · 10th to 90th $525 to $813
$500$1K$2K$5Kfacility $1,072professional $661

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
$398.11
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$933.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,244.36

Where South Dakota sits

The same service costs 26.9 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 44th of 50

$676

IN $10,000WV $372

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.