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Scope Procedure To Break Up A Kidney Or Ureter Stone

New Mexico 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?

$8,111

Typical total for the visit. In New Mexico, July 2026.

Insurers have agreed to pay about $8,111 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $7,586 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$525$417 to $1,318
Facility feeThe hospital or surgery center$7,586$4,786 to $9,772

How much rates vary

Facilitymedian $7,586 · 10th to 90th $676 to $19,953Professionalmedian $525 · 10th to 90th $398 to $1,738
$100$1K$10Kfacility $7,586professional $525

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
$602.56
Median
$7,244.36
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$16,595.87
Typical High
$27,542.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$758.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$588.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$11,748.98
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$630.96
Typical High
$933.25

Where New Mexico 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

New Mexico· 16th of 51

$8,111

$525 physician + $7,586 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.