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Scope Procedure To Break Up A Kidney Or Ureter Stone

Montana 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?

$3,452

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

Insurers have agreed to pay about $3,452 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $2,951 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$501$427 to $1,047
Facility feeThe hospital or surgery center$2,951$708 to $10,965

How much rates vary

Facilitymedian $2,951 · 10th to 90th $676 to $19,498Professionalmedian $501 · 10th to 90th $407 to $1,738
$200$1K$5K$20K$100Kfacility $2,951professional $501

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
$2,041.74
Median
$9,549.93
Typical High
$21,877.62
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$12,589.25
Median
$16,982.44
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$1,737.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$691.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$870.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$870.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$812.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$537.03
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$1,023.29

Where Montana 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

Montana· 50th of 51

$3,452

$501 physician + $2,951 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.