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Scope Procedure To Break Up A Kidney Or Ureter Stone

Iowa 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?

$6,365

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

Insurers have agreed to pay about $6,365 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $5,623 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$741$589 to $1,660
Facility feeThe hospital or surgery center$5,623$4,266 to $10,715

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,023 to $14,791Professionalmedian $741 · 10th to 90th $457 to $2,089
$500$1K$2K$5K$10K$20Kfacility $5,623professional $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
$933.25
Median
$5,370.32
Typical High
$11,748.98
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,309.57
Median
$7,943.28
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$1,174.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$4,168.69
Typical High
$13,803.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$851.14
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,584.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,258.93
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,762.47
Typical High
$41,686.94
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,000.00
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$1,318.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$851.14

Where Iowa 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

Iowa· 35th of 51

$6,365

$741 physician + $5,623 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.