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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 July 2026.

How much rates vary

Facilitymedian $6,310 · 10th to 90th $4,074 to $18,197
$5K$10Kfacility $6,310

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
$4,073.80
Median
$6,309.57
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$10,964.78
Typical High
$18,620.87