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Scope Procedure To Break Up A Kidney Or Ureter Stone

Maryland 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?

$3,603

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

Insurers have agreed to pay about $3,603 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $3,090 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$513$437 to $1,230
Facility feeThe hospital or surgery center$3,090$2,239 to $4,786

How much rates vary

Facilitymedian $3,090 · 10th to 90th $447 to $6,457Professionalmedian $513 · 10th to 90th $398 to $1,862
$100$200$500$1K$2K$5K$10Kfacility $3,090professional $513

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
$446.68
Median
$3,090.30
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$1,949.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$436.52
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$10,000.00
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$891.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$575.44

Where Maryland 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

Maryland· 49th of 51

$3,603

$513 physician + $3,090 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.