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Scope Procedure To Break Up A Kidney Or Ureter Stone

Tennessee 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?

$5,514

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

Insurers have agreed to pay about $5,514 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $4,898 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$617$490 to $891
Facility feeThe hospital or surgery center$4,898$2,455 to $8,511

How much rates vary

Facilitymedian $4,898 · 10th to 90th $891 to $12,023Professionalmedian $617 · 10th to 90th $417 to $1,778
$200$500$1K$2K$5K$10Kfacility $4,898professional $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
$870.96
Median
$4,897.79
Typical High
$12,302.69
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$831.76
Median
$8,709.64
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$1,778.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$707.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$5,370.32
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$851.14
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$15,488.17
Typical High
$15,488.17
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,623.41
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$933.25

Where Tennessee 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

Tennessee· 40th of 51

$5,514

$617 physician + $4,898 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.