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Scope Procedure To Break Up A Kidney Or Ureter Stone

Delaware 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?

$8,629

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

Insurers have agreed to pay about $8,629 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $8,128 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$417 to $955
Facility feeThe hospital or surgery center$8,128$5,888 to $10,715

How much rates vary

Facilitymedian $8,128 · 10th to 90th $427 to $17,378Professionalmedian $501 · 10th to 90th $407 to $1,000
$500$1K$2K$5K$10Kfacility $8,128professional $501

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
$8,128.31
Typical High
$17,378.01
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$724.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$10,471.29
Typical High
$25,703.96
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$13,182.57
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$691.83

Where Delaware 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

Delaware· 12th of 51

$8,629

$501 physician + $8,128 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.