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Telescope Removal of a Kidney or Ureter Stone

South Dakota 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?

$759

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $759 for this service. Most negotiated rates run $646 to $6,457.

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 $6,457 · 10th to 90th $1,047 to $8,128Professionalmedian $661 · 10th to 90th $525 to $794
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $6,457professional $661

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
$4,365.16
Median
$6,456.54
Typical High
$8,128.31
Avera
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$812.83
Typical High
$4,466.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$912.01
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$10,964.78

Where South Dakota 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.

South Dakota $759 · 49th 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.