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Telescope Removal of a Kidney or Ureter Stone

Minnesota 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?

$2,951

Typical facility fee. In Minnesota, July 2026.

Insurers have agreed to pay about $2,951 for this service. Most negotiated rates run $1,202 to $6,761.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,951 · 10th to 90th $794 to $15,136
$500$1K$2K$5K$10K$20Kfacility $2,951

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
$363.08
Median
$6,456.54
Typical High
$6,456.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$9,332.54
Typical High
$23,442.29
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$10,232.93
Median
$19,054.61
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,071.52
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$8,709.64
Typical High
$13,803.84

Where Minnesota sits

The same service costs 18.6 times more in Indiana than in Maryland. 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.

Minnesota· 43rd of 51

$2,951

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.