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Scope Procedure To Break Up A Kidney Or Ureter Stone

South Dakota 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?

$7,369

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

Insurers have agreed to pay about $7,369 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $6,457 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$912$589 to $1,072
Facility feeThe hospital or surgery center$6,457$4,365 to $8,511

How much rates vary

Facilitymedian $6,457 · 10th to 90th $3,467 to $9,550Professionalmedian $912 · 10th to 90th $347 to $6,166
$500$1K$2K$5K$10K$20Kfacility $6,457professional $912

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
$3,467.37
Median
$7,762.47
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$933.25
Typical High
$6,309.57
Avera
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$812.83
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,023.29
Typical High
$4,466.84
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$741.31
Typical High
$3,090.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$891.25
Typical High
$977.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$812.83
Typical High
$1,148.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$891.25

Where South Dakota 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 Dakota· 29th of 51

$7,369

$912 physician + $6,457 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.