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Scope Treatment Where The Ureter Meets The Kidney

Vermont 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 October 2026.

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

$617

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $550 to $661.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $468 to $3,802Professionalmedian $603 · 10th to 90th $398 to $891
$500$1K$2Kfacility $1,698professional $603

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$645.65
Typical High
$660.69
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$602.56
Typical High
$954.99

Where Vermont sits

The same service costs 5.9 times more in Oklahoma than in New York. 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.

Vermont· 28th of 51

$617

OK $2,291NY $389

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.