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Scope Procedure To Break Up A Kidney Or Ureter Stone

Georgia 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?

$7,377

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

Insurers have agreed to pay about $7,377 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $6,761 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$617$468 to $813
Facility feeThe hospital or surgery center$6,761$4,571 to $9,550

How much rates vary

Facilitymedian $6,761 · 10th to 90th $1,778 to $12,589Professionalmedian $617 · 10th to 90th $398 to $912
$500$1K$2K$5K$10K$20Kfacility $6,761professional $617

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
$3,467.37
Median
$6,918.31
Typical High
$10,471.29
Aetna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$29,512.09
Median
$29,512.09
Typical High
$29,512.09
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,466.84
Median
$7,244.36
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$912.01
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$5,495.41
Typical High
$14,125.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$912.01
CareSource
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$2,511.89
Kaiser Permanente
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$11,748.98
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$6,309.57
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$954.99

Where Georgia 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

Georgia· 28th of 51

$7,377

$617 physician + $6,761 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.