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Telescope Removal of a Kidney or Ureter Stone

New York 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?

$5,888

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $5,888 for this service. Most negotiated rates run $2,951 to $9,333.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $708 to $12,023
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $5,888

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
$588.84
Median
$5,128.61
Typical High
$11,220.18
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,398.83
Median
$9,120.11
Typical High
$9,772.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,398.83
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$724.44
Typical High
$1,318.26
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$7,244.36
Typical High
$11,748.98
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,677.35
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$5,888.44
Typical High
$13,182.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$1,479.11

Where New York 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.

New York $5,888 · 22nd 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.