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Scope Procedure To Break Up A Kidney Or Ureter Stone

Idaho 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?

$9,326

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

Insurers have agreed to pay about $9,326 for this procedure. That total is two separate charges: $617 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$617$501 to $1,047
Facility feeThe hospital or surgery center$8,710$4,677 to $10,000

How much rates vary

Facilitymedian $8,710 · 10th to 90th $1,122 to $13,490Professionalmedian $617 · 10th to 90th $427 to $1,820
$500$1K$2K$5K$10K$20Kfacility $8,710professional $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
$1,122.02
Median
$9,549.93
Typical High
$12,589.25
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,365.16
Median
$13,489.63
Typical High
$23,988.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,309.57
Typical High
$13,489.63
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,890.45
Median
$9,549.93
Typical High
$20,417.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$794.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$1,202.26
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$11,748.98
Typical High
$16,982.44
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$12,882.50
Median
$18,197.01
Typical High
$25,118.86
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$794.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$4,677.35
Typical High
$7,244.36
Select Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$22,387.21
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$851.14

Where Idaho 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

Idaho· 10th of 51

$9,326

$617 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.