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Scope Procedure To Break Up A Kidney Or Ureter Stone

Maine 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?

$10,309

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

Insurers have agreed to pay about $10,309 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $9,772 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$537$457 to $603
Facility feeThe hospital or surgery center$9,772$7,413 to $12,303

How much rates vary

Facilitymedian $9,772 · 10th to 90th $5,754 to $17,783Professionalmedian $537 · 10th to 90th $407 to $794
$500$1K$2K$5K$10K$20Kfacility $9,772professional $537

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
$5,754.40
Median
$9,772.37
Typical High
$17,782.79
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,165.95
Median
$6,456.54
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$616.60
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$912.01
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$912.01
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$9,549.93
Typical High
$19,498.45
Martin's Point
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,456.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$1,023.29

Where Maine 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

Maine· 6th of 51

$10,309

$537 physician + $9,772 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.