go back

Telescope Removal of a Kidney or Ureter Stone

Arizona rates for HCPCS 52353

A slim telescope is passed up through the urethra and bladder into the ureter, and sometimes on into the kidney, until the stone is in view. Energy delivered through the scope — usually a laser fiber — breaks the stone into fragments small enough to be picked out or passed naturally. Nothing is cut on the outside; a temporary internal drainage tube is often left afterwards and is billed separately.

Rates data updated July 2026.

How much does Telescope Removal of a Kidney or Ureter Stone cost?

$4,677

Typical facility fee. In Arizona, July 2026.

Insurers have agreed to pay about $4,677 for this service. Most negotiated rates run $3,162 to $6,918.

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 $4,677 · 10th to 90th $2,042 to $8,318
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,677

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
$2,398.83
Median
$4,677.35
Typical High
$8,317.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,548.13
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,623.41
Typical High
$8,709.64

Where Arizona sits

The same service costs 18.6 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $4,677 · 33rd of 51
IN $10,965MD $589

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.