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Telescope Removal of a Kidney or Ureter Stone

North Carolina 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?

$4,898

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $955 to $8,710.

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 $4,898 · 10th to 90th $389 to $9,772
$1.0$10.0$100.0$1.0K$10.0Kfacility $4,898

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
$389.05
Median
$6,165.95
Typical High
$9,549.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,964.78
Typical High
$19,498.45
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$33,884.42

Where North Carolina 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.

North Carolina $4,898 · 29th 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.