While land use intensification is a major driver of biodiversity change in streams, the nature of such changes, and at which scales they occur, have not been synthesized. To synthesize how land use change has altered multiple components of stream biodiversity across scales, we compiled data from 37 studies where comparative data were available for species' total and relative abundances from multiple locations including reference (less impacted) streams to those surrounded by different land use types (urban, forestry, and agriculture). We found that each type of land use reduced multiple components of within-stream biodiversity across scales, but that urbanization consistently had the strongest effects. However, we found that β-diversity among streams in modified landscapes did not differ from β-diversity observed among reference streams, suggesting little evidence for biotic homogenization. Nevertheless, assemblage composition did experience considerable species turnover between reference and modified streams. Our results emphasize that to understand how anthropogenic factors such as land use alter biodiversity, multiple components of biodiversity within and among sites must be simultaneously considered at multiple scales.