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Telescope Removal of a Kidney or Ureter Stone

Virginia 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?

$5,370

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $741 to $8,318.

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 $5,495 · 10th to 90th $447 to $12,882Professionalmedian $447 · 10th to 90th $331 to $891
$200$500$1K$2K$5K$10K$20Kfacility $5,495professional $447

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
$549.54
Median
$5,888.44
Typical High
$13,803.84
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$1,023.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$891.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$851.14
Sentara
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$22,387.21

Where Virginia 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.

Virginia· 27th of 51

$5,370

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.