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Telescope Removal of a Kidney or Ureter Stone

Wyoming 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?

$6,407

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

Insurers have agreed to pay about $6,407 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $5,495 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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$912$759 to $1,122
Facility feeThe hospital or surgery center$5,495$5,495 to $6,310

How much rates vary

Facilitymedian $5,495 · 10th to 90th $4,898 to $6,761Professionalmedian $912 · 10th to 90th $661 to $1,122
$500$1K$2K$5K$10Kfacility $5,495professional $912

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
$389.05
Median
$389.05
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$467.74
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$954.99
Typical High
$1,122.02
BCBS Wyoming
Setting
Professional
Modifier
50 · Both sides
Typical Low
$758.58
Median
$1,348.96
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$6,456.54
Typical High
$9,332.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$660.69
Typical High
$912.01
United
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$5,128.61
Typical High
$17,782.79
United
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$741.31
Typical High
$1,659.59

Where Wyoming 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

Wyoming· 7th of 51

$6,407

$912 physician + $5,495 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.