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Scope Procedure To Break Up A Kidney Or Ureter Stone

Louisiana 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?

$4,507

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

Insurers have agreed to pay about $4,507 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $3,890 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$617$437 to $708
Facility feeThe hospital or surgery center$3,890$2,399 to $7,586

How much rates vary

Facilitymedian $3,890 · 10th to 90th $891 to $14,125Professionalmedian $617 · 10th to 90th $389 to $794
$500$1K$2K$5K$10Kfacility $3,890professional $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
$891.25
Median
$3,467.37
Typical High
$14,125.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,187.76
Median
$10,471.29
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$660.69
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,120.11
Typical High
$15,848.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$691.83
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$4,897.79
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$549.54
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$6,025.60
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$812.83

Where Louisiana 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

Louisiana· 47th of 51

$4,507

$617 physician + $3,890 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.