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Making a Drainage Opening Into the Bladder

Illinois rates for HCPCS 51040

Makes an opening into the bladder through a small cut in the lower abdomen so that urine can drain out, normally through a tube left in place. It is done when urine cannot leave by the usual route — because of a blockage, an injury, or a passage that cannot be catheterized — or when the bladder needs to be rested and drained. The opening can be temporary or long-term.

Rates data updated July 2026.

Facilitymedian $2,630 · 10th–90th $537$7,7620%5%10th90th$2,630Professionalmedian $479 · 10th–90th $309$1,6600%10%10th90th$479$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,290.87
Typical High
$8,912.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$6,918.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$1,659.59
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$6,165.95