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Closure Of Ureter-To-Skin Fistula

Vermont rates for HCPCS 50920

Surgery that closes an abnormal tunnel running from the ureter, the tube carrying urine from the kidney to the bladder, out to the skin surface, where urine has been leaking through the body wall. The surgeon removes the unhealthy tract and sews the tube closed so urine drains the normal way. Such a tunnel usually follows earlier surgery, injury, or radiation treatment.

Rates data updated October 2026.

How much does Closure Of Ureter-To-Skin Fistula cost?

$1,259

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,259 for this service. Most negotiated rates run $1,175 to $1,445.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $776 · 10th to 90th $468 to $776Professionalmedian $1,288 · 10th to 90th $871 to $1,995
$500$1K$2Kfacility $776professional $1,288

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$1,445.44
Typical High
$1,479.11
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,288.25
Typical High
$2,137.96

Where Vermont sits

The same service costs 5.6 times more in Alaska than in Texas. 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· 19th of 51

$1,259

AK $3,548TX $631

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.