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Scope Procedure To Break Up A Kidney Or Ureter Stone

Michigan 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?

$7,938

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

Insurers have agreed to pay about $7,938 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $7,413 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$525$427 to $724
Facility feeThe hospital or surgery center$7,413$4,786 to $9,550

How much rates vary

Facilitymedian $7,413 · 10th to 90th $3,090 to $12,303Professionalmedian $525 · 10th to 90th $389 to $1,023
$200$500$1K$2K$5K$10K$20Kfacility $7,413professional $525

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
$3,090.30
Median
$7,413.10
Typical High
$12,302.69
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,073.80
Median
$7,943.28
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$1,174.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$1,288.25
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$724.44
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$7,943.28
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$691.83

Where Michigan 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

Michigan· 20th of 51

$7,938

$525 physician + $7,413 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.