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Telescope Removal of a Kidney or Ureter Stone

New Mexico 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 October 2026.

How much does Telescope Removal of a Kidney or Ureter Stone cost?

$4,049

Typical total for the visit. In New Mexico, October 2026.

Insurers have agreed to pay about $4,049 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $3,548 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$437 to $646
Facility feeThe hospital or surgery center$3,548$1,698 to $6,310

How much rates vary

Facilitymedian $3,548 · 10th to 90th $676 to $14,454Professionalmedian $501 · 10th to 90th $380 to $794
$50$200$1K$5K$20Kfacility $3,548professional $501

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$1,000.00
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$489.78
Typical High
$524.81
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$3,630.78
Typical High
$17,782.79
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$467.74
Typical High
$724.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$3,162.28
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$524.81
Typical High
$794.33
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$112.20
Typical High
$831.76
Providence
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$2,754.23
Typical High
$4,570.88
Providence
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$575.44
Typical High
$794.33
United
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$4,786.30
Typical High
$12,882.50
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$588.84
Typical High
$912.01

Where New Mexico sits

The same service costs 7.3 times more in Wisconsin than in Montana. 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.

Physician feeFacility fee

New Mexico· 28th of 51

$4,049

$501 physician + $3,548 facility

WI $8,816MT $1,205

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.