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Scope Procedure To Break Up A Kidney Or Ureter Stone

Connecticut 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?

$10,074

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

Insurers have agreed to pay about $10,074 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $9,333 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$741$501 to $1,000
Facility feeThe hospital or surgery center$9,333$6,761 to $10,965

How much rates vary

Facilitymedian $9,333 · 10th to 90th $5,248 to $14,454Professionalmedian $741 · 10th to 90th $417 to $1,738
$500$1K$2K$5K$10K$20Kfacility $9,333professional $741

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
$4,897.79
Median
$9,120.11
Typical High
$13,489.63
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,265.80
Median
$9,549.93
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$741.31
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$13,803.84
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$1,174.90
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$724.44
Health New England
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$13,182.57
Health New England
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$10,715.19
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$660.69
Typical High
$1,202.26

Where Connecticut 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

Connecticut· 7th of 51

$10,074

$741 physician + $9,333 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.