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Scope Procedure To Break Up A Kidney Or Ureter Stone

South Carolina 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?

$9,949

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $9,949 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $9,333 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$617$490 to $1,698
Facility feeThe hospital or surgery center$9,333$5,012 to $14,791

How much rates vary

Facilitymedian $9,333 · 10th to 90th $1,023 to $23,442Professionalmedian $617 · 10th to 90th $407 to $6,457
$100$1K$10Kfacility $9,333professional $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
$3,090.30
Median
$9,332.54
Typical High
$24,547.09
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,677.35
Median
$6,165.95
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$6,606.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$7,413.10
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$776.25
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$16,595.87
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$870.96

Where South Carolina 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

South Carolina· 8th of 51

$9,949

$617 physician + $9,333 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.