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Scope Procedure To Break Up A Kidney Or Ureter Stone

Rhode Island 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?

$562

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $427 to $4,571.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,761 · 10th to 90th $3,631 to $12,589Professionalmedian $501 · 10th to 90th $407 to $692
$500$1K$2K$5K$10Kfacility $6,761professional $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
$3,801.89
Median
$5,248.07
Typical High
$12,589.25
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$426.58
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,413.10
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$812.83

Where Rhode Island sits

The same service costs 12.3 times more in Wyoming than in Vermont. 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.

Rhode Island· 49th of 51

$562

WY $6,166VT $501

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.