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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 July 2026.

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

$4,571

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $1,023 to $7,079.

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 $5,012 · 10th to 90th $776 to $12,303Professionalmedian $933 · 10th to 90th $389 to $1,778
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,012professional $933

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
$776.25
Median
$4,786.30
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$724.44
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$4,786.30
Typical High
$13,803.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,000.00
Typical High
$14,125.38

Where Iowa 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.

Iowa $4,571 · 35th 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.