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Telescope Removal of a Kidney or Ureter Stone

Texas 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?

$4,571

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $2,884 to $8,913.

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 $4,571 · 10th to 90th $891 to $13,804
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,571

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
$1,000.00
Median
$4,073.80
Typical High
$13,489.63
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,479.11
Median
$3,548.13
Typical High
$9,332.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,760.83
Typical High
$13,182.57
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$5,011.87
Typical High
$8,912.51
Christus
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$5,370.32
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$33,884.42
Typical High
$33,884.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$912.01
Providence
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,025.60
Typical High
$11,481.54

Where Texas 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.

Texas $4,571 · 34th 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.