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Scope Procedure To Break Up A Kidney Or Ureter Stone

Indiana 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?

$10,479

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

Insurers have agreed to pay about $10,479 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $10,000 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$479$407 to $676
Facility feeThe hospital or surgery center$10,000$6,026 to $16,218

How much rates vary

Facilitymedian $10,000 · 10th to 90th $1,288 to $22,909Professionalmedian $479 · 10th to 90th $380 to $832
$500$1K$2K$5K$10K$20Kfacility $10,000professional $479

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
$616.60
Median
$9,120.11
Typical High
$18,197.01
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,918.31
Median
$19,054.61
Typical High
$21,379.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$15,488.17
Typical High
$25,703.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$588.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$537.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$794.33

Where Indiana 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

Indiana· 4th of 51

$10,479

$479 physician + $10,000 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.