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Telescope Removal of a Kidney or Ureter Stone

Ohio 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?

$6,310

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $6,310 for this service. Most negotiated rates run $4,467 to $8,128.

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 $6,310 · 10th to 90th $1,288 to $12,589
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,310

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
$1,288.25
Median
$6,760.83
Typical High
$12,589.25
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$16,982.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$616.60
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,265.80
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,025.60
Typical High
$11,220.18

Where Ohio 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.

Ohio $6,310 · 16th 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.