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Scope Procedure To Break Up A Kidney Or Ureter Stone

Colorado 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?

$7,769

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

Insurers have agreed to pay about $7,769 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $7,244 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$417 to $1,318
Facility feeThe hospital or surgery center$7,244$3,715 to $10,965

How much rates vary

Facilitymedian $7,244 · 10th to 90th $537 to $16,218Professionalmedian $525 · 10th to 90th $417 to $1,660
$10$100$1K$10Kfacility $7,244professional $525

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
$416.87
Median
$6,918.31
Typical High
$11,220.18
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,513.56
Median
$5,370.32
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$2,137.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,481.54
Typical High
$19,498.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$831.76
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,288.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$758.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,748.98
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,023.29

Where Colorado 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

Colorado· 22nd of 51

$7,769

$525 physician + $7,244 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.