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Telescope Removal of a Kidney or Ureter Stone

Washington 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?

$7,079

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $7,079 for this service. Most negotiated rates run $851 to $15,849.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,079 · 10th to 90th $525 to $25,119
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $7,079

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
$524.81
Median
$12,589.25
Typical High
$25,118.86
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$19,054.61
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$16,218.10
Typical High
$28,183.83
Asuris Northwest Health
Setting
Facility
Modifier
50 · Both sides
Typical Low
$14,791.08
Median
$23,988.33
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$912.01
Typical High
$13,182.57
Kaiser Permanente
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,332.54
Median
$17,378.01
Typical High
$37,153.52
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$812.83
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$524.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$15,135.61
Typical High
$28,183.83
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$14,454.40
Median
$22,908.68
Typical High
$41,686.94
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$16,595.87
Typical High
$30,902.95

Where Washington 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.

Washington $7,079 · 11th 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.