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Scope Procedure To Break Up A Kidney Or Ureter Stone

Vermont 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?

$501

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $501 for this service. Most negotiated rates run $398 to $550.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,607 · 10th to 90th $6,166 to $9,550Professionalmedian $479 · 10th to 90th $398 to $1,380
$500$1K$2K$5K$10Kfacility $6,607professional $479

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$1,380.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,456.54
Typical High
$8,128.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$524.81
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$1,778.28

Where Vermont sits

The same service costs 12.3 times more in Wyoming than in Vermont. 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.

Vermont· 51st of 51

$501

WY $6,166VT $501

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.