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Scope Procedure To Break Up A Kidney Or Ureter Stone

North Dakota 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?

$7,251

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

Insurers have agreed to pay about $7,251 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $6,457 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$794$427 to $933
Facility feeThe hospital or surgery center$6,457$4,365 to $8,318

How much rates vary

Facilitymedian $6,457 · 10th to 90th $417 to $9,550Professionalmedian $794 · 10th to 90th $407 to $1,047
$500$1K$2K$5K$10Kfacility $6,457professional $794

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
$416.87
Median
$6,456.54
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$4,168.69
Typical High
$7,413.10
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$758.58
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,023.29

Where North Dakota 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 Dakota· 32nd of 51

$7,251

$794 physician + $6,457 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.