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Scope Procedure To Break Up A Kidney Or Ureter Stone

Nevada 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?

$4,584

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

Insurers have agreed to pay about $4,584 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $3,981 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$603$437 to $1,698
Facility feeThe hospital or surgery center$3,981$2,884 to $6,457

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,380 to $9,550Professionalmedian $603 · 10th to 90th $417 to $1,950
$500$1K$2K$5K$10Kfacility $3,981professional $603

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
$1,380.38
Median
$3,162.28
Typical High
$10,232.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$588.84
Median
$3,162.28
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$1,949.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$660.69
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$426.58
Typical High
$616.60
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$363.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,548.13
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$1,905.46

Where Nevada 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

Nevada· 46th of 51

$4,584

$603 physician + $3,981 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.