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Scope Procedure To Break Up A Kidney Or Ureter Stone

Florida 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?

$9,211

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

Insurers have agreed to pay about $9,211 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $8,710 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$407 to $871
Facility feeThe hospital or surgery center$8,710$5,623 to $10,965

How much rates vary

Facilitymedian $8,710 · 10th to 90th $2,818 to $17,378Professionalmedian $501 · 10th to 90th $372 to $1,175
$200$500$1K$2K$5K$10K$20Kfacility $8,710professional $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
$2,754.23
Median
$8,709.64
Typical High
$16,218.10
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,495.41
Median
$10,964.78
Typical High
$35,481.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$1,174.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$660.69
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$5,623.41
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,511.89
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$851.14
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$281.84
Typical High
$457.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$10,000.00
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$524.81
Typical High
$870.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$426.58

Where Florida 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

Florida· 11th of 51

$9,211

$501 physician + $8,710 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.