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Scope Procedure To Break Up A Kidney Or Ureter Stone

Arizona 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?

$5,266

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

Insurers have agreed to pay about $5,266 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $4,677 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$589$427 to $1,479
Facility feeThe hospital or surgery center$4,677$3,162 to $6,457

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,738 to $8,318Professionalmedian $589 · 10th to 90th $398 to $1,950
$500$1K$2K$5K$10Kfacility $4,677professional $589

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
$2,041.74
Median
$4,677.35
Typical High
$8,317.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$977.24
Median
$3,162.28
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$1,995.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,890.45
Typical High
$7,244.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,495.41
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$794.33

Where Arizona 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

Arizona· 42nd of 51

$5,266

$589 physician + $4,677 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.