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Scope Procedure To Break Up A Kidney Or Ureter Stone

Massachusetts 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?

$4,332

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

Insurers have agreed to pay about $4,332 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $3,715 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 9 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 $1,122
Facility feeThe hospital or surgery center$3,715$2,692 to $5,370

How much rates vary

Facilitymedian $3,715 · 10th to 90th $575 to $8,710Professionalmedian $617 · 10th to 90th $389 to $1,738
$200$500$1K$2K$5K$10Kfacility $3,715professional $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
$1,949.84
Median
$3,801.89
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,691.53
Median
$4,897.79
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$1,819.70
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,890.45
Typical High
$12,589.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$575.44
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$1,096.48
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$457.09
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$389.05
Typical High
$588.84
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$676.08
Typical High
$1,148.15
Health New England
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,248.07
Typical High
$13,803.84
Health New England
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$724.44
Typical High
$870.96
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,890.45
Typical High
$12,589.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$575.44
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$741.31
Typical High
$1,737.80

Where Massachusetts 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

Massachusetts· 48th of 51

$4,332

$617 physician + $3,715 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.