go back

Scope Procedure To Break Up A Kidney Or Ureter Stone

Alabama rates for HCPCS 52356

A thin scope is passed up through the urinary tract to reach a stone in the ureter or kidney, where a laser or other device breaks it into smaller pieces that can pass or be removed. This version also includes placing a temporary stent in the ureter afterward to help urine drain while the area heals.

Rates data updated July 2026.

How much does Scope Procedure To Break Up A Kidney Or Ureter Stone cost?

$4,771

Typical total for the visit. In Alabama, July 2026.

Insurers have agreed to pay about $4,771 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $4,169 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$603$417 to $813
Facility feeThe hospital or surgery center$4,169$1,622 to $6,761

How much rates vary

Facilitymedian $4,169 · 10th to 90th $813 to $9,333Professionalmedian $603 · 10th to 90th $398 to $1,122
$10$100$1K$10Kfacility $4,169professional $603

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
$812.83
Median
$2,630.27
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$812.83
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$6,760.83
Typical High
$9,120.11
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,511.38
Median
$10,232.93
Typical High
$13,803.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$4,168.69
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$676.08

Where Alabama sits

The same service costs 5.1 times more in Wyoming than in Arkansas. 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

Alabama· 45th of 51

$4,771

$603 physician + $4,169 facility

WY $14,876AR $2,907

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.