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Telescope Removal of a Kidney or Ureter Stone

Michigan 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?

$6,457

Typical facility fee. In Michigan, July 2026.

Insurers have agreed to pay about $6,457 for this service. Most negotiated rates run $4,786 to $9,550.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,457 · 10th to 90th $3,090 to $11,482
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $6,457

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
$3,090.30
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,071.52
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$7,943.28
Typical High
$14,125.38

Where Michigan 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.

Michigan $6,457 · 14th 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.