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Telescope Removal of a Kidney or Ureter Stone

Vermont 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 October 2026.

How much does Telescope Removal of a Kidney or Ureter Stone cost?

$6,240

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $6,240 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $5,623 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$617$550 to $661
Facility feeThe hospital or surgery center$5,623$4,898 to $5,623

How much rates vary

Facilitymedian $5,623 · 10th to 90th $2,344 to $5,623Professionalmedian $617 · 10th to 90th $389 to $891
$500$1K$2K$5Kfacility $5,623professional $617

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$575.44
Typical High
$575.44
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$4,897.79
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$645.65
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$616.60
Typical High
$933.25

Where Vermont sits

The same service costs 7.3 times more in Wisconsin than in Montana. 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.

Physician feeFacility fee

Vermont· 9th of 51

$6,240

$617 physician + $5,623 facility

WI $8,816MT $1,205

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.