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Scope Procedure To Break Up A Kidney Or Ureter Stone

Ohio 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?

$8,030

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

Insurers have agreed to pay about $8,030 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $7,413 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$617$427 to $871
Facility feeThe hospital or surgery center$7,413$4,786 to $9,772

How much rates vary

Facilitymedian $7,413 · 10th to 90th $2,239 to $14,125Professionalmedian $617 · 10th to 90th $389 to $2,884
$50$200$1K$5K$20Kfacility $7,413professional $617

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
$2,089.30
Median
$7,413.10
Typical High
$14,125.38
Aetna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$30,199.52
Median
$30,199.52
Typical High
$30,199.52
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$707.95
Typical High
$5,128.61
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$812.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$537.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$501.19
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$645.65
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$831.76
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$7,079.46
Typical High
$13,803.84
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,309.57
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$812.83

Where Ohio 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

Ohio· 17th of 51

$8,030

$617 physician + $7,413 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.