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Water Jet Removal Of Prostate Tissue

Kentucky rates for HCPCS 0421T

Overgrown prostate tissue that is blocking the flow of urine is removed with a high-pressure jet of water delivered through a scope passed along the urethra, with ultrasound imaging used to map the area to be treated. Because the jet cuts tissue without heat, nearby structures are less affected. Controlling bleeding afterwards and the related steps through the urethra are part of the same procedure.

Rates data updated July 2026.

How much rates vary

Facilitymedian $8,913 · 10th to 90th $1,445 to $26,915Professionalmedian $13,490 · 10th to 90th $1,047 to $23,988
$1K$2K$5K$10K$20K$50Kfacility $8,913professional $13,490

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$8,912.51
Typical High
$8,912.51
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$13,803.84
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$13,489.63
Typical High
$23,988.33