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Telescope Removal of a Kidney or Ureter Stone

Iowa 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?

$5,280

Typical total for the visit. In Iowa, October 2026.

Insurers have agreed to pay about $5,280 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $4,467 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$813$631 to $1,023
Facility feeThe hospital or surgery center$4,467$1,288 to $7,079

How much rates vary

Facilitymedian $4,467 · 10th to 90th $813 to $12,303Professionalmedian $813 · 10th to 90th $457 to $1,259
$500$1K$2K$5K$10K$20Kfacility $4,467professional $813

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$4,786.30
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$575.44
Typical High
$891.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$4,265.80
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$912.01
Typical High
$1,096.48
Hally Health
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$630.96
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$3,630.78
Typical High
$12,589.25
Medica
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$912.01
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$912.01
Typical High
$1,047.13
Midlands
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$4,168.69
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,174.90
United
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$5,011.87
Typical High
$14,125.38
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$707.95
Typical High
$1,258.93
Wellmark
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$812.83

Where Iowa sits

The same service costs 7.3 times more in Wisconsin than in Montana. 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.

Physician feeFacility fee

Iowa· 15th of 51

$5,280

$813 physician + $4,467 facility

WI $8,816MT $1,205

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.