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Scope Procedure To Break Up A Kidney Or Ureter Stone

Minnesota 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?

$5,199

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

Insurers have agreed to pay about $5,199 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $4,266 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$933$617 to $1,318
Facility feeThe hospital or surgery center$4,266$1,660 to $8,128

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,096 to $12,023Professionalmedian $933 · 10th to 90th $417 to $1,738
$500$1K$2K$5K$10K$20Kfacility $4,266professional $933

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
$389.05
Median
$5,495.41
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,677.35
Median
$4,897.79
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$2,187.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$9,332.54
Typical High
$23,442.29
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$10,232.93
Median
$19,054.61
Typical High
$54,954.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$977.24
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,445.44
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,258.93
Typical High
$1,862.09
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$3,090.30
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,890.45
Typical High
$8,709.64
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,090.30
Median
$5,248.07
Typical High
$10,232.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$851.14
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$9,120.11
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$1,621.81

Where Minnesota 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

Minnesota· 44th of 51

$5,199

$933 physician + $4,266 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.