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Scope Procedure To Break Up A Kidney Or Ureter Stone

Kentucky 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?

$6,515

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

Insurers have agreed to pay about $6,515 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $6,026 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$389 to $708
Facility feeThe hospital or surgery center$6,026$2,951 to $8,913

How much rates vary

Facilitymedian $6,026 · 10th to 90th $759 to $9,772Professionalmedian $490 · 10th to 90th $372 to $1,202
$500$1K$2K$5K$10Kfacility $6,026professional $490

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
$575.44
Median
$6,918.31
Typical High
$11,481.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,248.07
Median
$6,918.31
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$1,288.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$537.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,897.79
Typical High
$9,549.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$537.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$616.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$707.95
Typical High
$1,778.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$5,128.61
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$794.33

Where Kentucky 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

Kentucky· 34th of 51

$6,515

$490 physician + $6,026 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.