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Telescope Removal of a Kidney or Ureter Stone

Oregon 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?

$776

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $776 for this service. Most negotiated rates run $724 to $7,943.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $776 · 10th to 90th $525 to $14,125Professionalmedian $724 · 10th to 90th $550 to $977
$500$1K$2K$5K$10K$20Kfacility $776professional $724

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$9,549.93
Typical High
$18,620.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$977.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$933.25
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$776.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$645.65
Typical High
$977.24
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$16,982.44
Typical High
$20,417.38
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$18,620.87
Median
$25,118.86
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$16,218.10
Typical High
$22,908.68

Where Oregon sits

The same service costs 18.6 times more in Indiana than in Maryland. 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.

Oregon· 48th of 51

$776

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.