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Scope Procedure To Break Up A Kidney Or Ureter Stone

Utah 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?

$8,294

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

Insurers have agreed to pay about $8,294 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $7,586 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$708$417 to $933
Facility feeThe hospital or surgery center$7,586$6,026 to $9,120

How much rates vary

Facilitymedian $7,586 · 10th to 90th $3,311 to $10,965Professionalmedian $708 · 10th to 90th $389 to $1,122
$100$500$2K$10Kfacility $7,586professional $708

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
$3,311.31
Median
$7,585.78
Typical High
$10,471.29
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,754.40
Median
$7,943.28
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$851.14
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$588.84
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,122.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,000.00
Typical High
$15,135.61
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$10,964.78
Median
$15,135.61
Typical High
$22,908.68
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$870.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$741.31
Typical High
$851.14
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$660.69
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$870.96

Where Utah 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

Utah· 14th of 51

$8,294

$708 physician + $7,586 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.