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Telescope Removal of a Kidney or Ureter Stone

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $832 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,607 · 10th to 90th $708 to $8,913Professionalmedian $589 · 10th to 90th $309 to $1,698
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,607professional $589

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
$707.95
Median
$6,606.93
Typical High
$8,912.51
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,000.00
Typical High
$15,135.61
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$10,964.78
Median
$15,135.61
Typical High
$22,908.68
Select Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$588.84
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84

Where Utah 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.

Utah $4,571 · 37th 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.