go back

Scope Procedure To Break Up A Kidney Or Ureter Stone

North Carolina 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?

$8,325

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $8,325 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $7,762 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$562$427 to $977
Facility feeThe hospital or surgery center$7,762$4,898 to $9,333

How much rates vary

Facilitymedian $7,762 · 10th to 90th $1,479 to $10,000Professionalmedian $562 · 10th to 90th $389 to $1,479
$100$200$500$1K$2K$5K$10Kfacility $7,762professional $562

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
$1,698.24
Median
$7,943.28
Typical High
$10,000.00
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,011.87
Median
$9,120.11
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$1,548.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$741.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$691.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,047.13
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,964.78
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$954.99
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$15,488.17
Typical High
$15,488.17
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,388.44
Typical High
$3,388.44

Where North Carolina 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

North Carolina· 13th of 51

$8,325

$562 physician + $7,762 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.