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Scope Procedure To Break Up A Kidney Or Ureter Stone

Washington, DC 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?

$1,148

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $447 to $5,129.

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.

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,047 to $7,762Professionalmedian $457 · 10th to 90th $437 to $1,549
$500$1K$2K$5K$10K$20Kfacility $5,129professional $457

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
$1,047.13
Median
$5,128.61
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$1,548.82
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$5,128.61
Typical High
$19,952.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$13,182.57
Typical High
$31,622.78
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$1,047.13

Where Washington, DC sits

The same service costs 12.3 times more in Wyoming than in Vermont. 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.

Washington, DC· 22nd of 51

$1,148

WY $6,166VT $501

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.