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Scope Procedure To Break Up A Kidney Or Ureter Stone

Virginia 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?

$7,592

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

Insurers have agreed to pay about $7,592 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $7,079 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$513$437 to $708
Facility feeThe hospital or surgery center$7,079$4,365 to $11,482

How much rates vary

Facilitymedian $7,079 · 10th to 90th $631 to $18,621Professionalmedian $513 · 10th to 90th $398 to $3,467
$500$1K$2K$5K$10K$20Kfacility $7,079professional $513

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
$1,000.00
Median
$7,244.36
Typical High
$18,620.87
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,235.94
Median
$5,888.44
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$512.86
Typical High
$741.31
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$812.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$891.25

Where Virginia 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

Virginia· 25th of 51

$7,592

$513 physician + $7,079 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.