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Scope Procedure To Break Up A Kidney Or Ureter Stone

Oklahoma 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?

$7,746

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

Insurers have agreed to pay about $7,746 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $7,244 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$501$417 to $550
Facility feeThe hospital or surgery center$7,244$2,630 to $10,965

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,175 to $14,791Professionalmedian $501 · 10th to 90th $398 to $646
$500$1K$2K$5K$10K$20Kfacility $7,244professional $501

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
$1,000.00
Median
$4,570.88
Typical High
$14,454.40
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,168.69
Median
$4,265.80
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$676.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,481.54
Typical High
$18,620.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$562.34
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$3,981.07
Typical High
$10,232.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$5,370.32
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$691.83

Where Oklahoma 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

Oklahoma· 23rd of 51

$7,746

$501 physician + $7,244 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.