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Telescope Removal of a Kidney or Ureter Stone

Indiana 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?

$10,965

Typical facility fee. In Indiana, July 2026.

Insurers have agreed to pay about $10,965 for this service. Most negotiated rates run $4,898 to $18,621.

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 $10,965 · 10th to 90th $575 to $24,547
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $10,965

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
$446.68
Median
$5,623.41
Typical High
$18,620.87
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$15,488.17
Typical High
$25,703.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,549.93
Typical High
$16,218.10

Where Indiana 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.

Indiana $10,965 · 1st 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.