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Telescope Removal of a Kidney or Ureter Stone

Missouri 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?

$4,786

Typical facility fee. In Missouri, July 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $2,951 to $7,762.

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 $4,786 · 10th to 90th $1,549 to $11,482
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,786

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
$4,897.79
Typical High
$14,791.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,677.35
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$12,022.64
Typical High
$15,488.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$2,570.40
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,265.80
Typical High
$10,471.29

Where Missouri 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.

Missouri $4,786 · 30th 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.