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Scope Procedure To Break Up A Kidney Or Ureter Stone

Oregon 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?

$9,573

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

Insurers have agreed to pay about $9,573 for this procedure. That total is two separate charges: $661 to the doctor who performs it, and $8,913 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$661$457 to $1,122
Facility feeThe hospital or surgery center$8,913$794 to $13,183

How much rates vary

Facilitymedian $8,913 · 10th to 90th $676 to $18,621Professionalmedian $661 · 10th to 90th $407 to $1,778
$100$500$2K$10Kfacility $8,913professional $661

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
$1,023.29
Median
$10,964.78
Typical High
$21,379.62
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,709.64
Median
$9,120.11
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$870.96
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$1,047.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$912.01
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,096.48
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$794.33
Typical High
$812.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$1,047.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$794.33
Typical High
$1,122.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$16,982.44
Typical High
$20,417.38
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$18,620.87
Median
$25,118.86
Typical High
$30,902.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$15,135.61
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$1,174.90

Where Oregon 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

Oregon· 9th of 51

$9,573

$661 physician + $8,913 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.