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Scope Procedure To Break Up A Kidney Or Ureter Stone

Nebraska 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?

$8,013

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

Insurers have agreed to pay about $8,013 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $7,079 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$933$537 to $1,318
Facility feeThe hospital or surgery center$7,079$5,623 to $10,965

How much rates vary

Facilitymedian $7,079 · 10th to 90th $2,630 to $14,454Professionalmedian $933 · 10th to 90th $407 to $1,950
$500$1K$2K$5K$10K$20Kfacility $7,079professional $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
$2,630.27
Median
$7,079.46
Typical High
$19,054.61
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,606.93
Median
$7,943.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$954.99
Typical High
$1,949.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$630.96
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,471.29
Typical High
$20,892.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$616.60
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,309.57
Typical High
$10,964.78
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,290.87
Median
$8,128.31
Typical High
$14,791.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$831.76
Typical High
$1,148.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$977.24
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$7,079.46
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$6,606.93
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$851.14
Typical High
$1,174.90

Where Nebraska 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

Nebraska· 18th of 51

$8,013

$933 physician + $7,079 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.