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Telescope Removal of a Kidney or Ureter Stone

Washington, DC 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 October 2026.

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

$550

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $407 to $1,380.

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 $4,266 · 10th to 90th $1,023 to $27,542Professionalmedian $447 · 10th to 90th $372 to $3,548
$500$1K$2K$5K$10K$20Kfacility $4,266professional $447

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
Facility
Modifier
None
Typical Low
$407.38
Median
$3,388.44
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$1,023.29
CareFirst
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$416.87
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$489.78
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$371.54
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$10,232.93
Typical High
$34,673.69
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$562.34
Typical High
$1,023.29

Where Washington, DC sits

The same service costs 7.8 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.

Washington, DC· 39th of 51

$550

OK $2,818NY $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.