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Scope Procedure To Break Up A Kidney Or Ureter Stone

Kansas 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?

$6,084

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

Insurers have agreed to pay about $6,084 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $5,495 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$589$468 to $813
Facility feeThe hospital or surgery center$5,495$3,802 to $8,511

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,148 to $12,303Professionalmedian $589 · 10th to 90th $417 to $1,023
$100$1K$10Kfacility $5,495professional $589

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
$1,148.15
Median
$5,495.41
Typical High
$12,302.69
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,230.27
Median
$3,630.78
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$812.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$6,025.60
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$851.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$1,096.48
Typical High
$8,317.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$4,073.80
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$724.44

Where Kansas 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

Kansas· 36th of 51

$6,084

$589 physician + $5,495 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.