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Making a Drainage Opening Into the Bladder

Wisconsin 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 $4,898 · 10th–90th $2,754$7,7620%10%10th90th$4,898Professionalmedian $692 · 10th–90th $427$1,1750%20%10th90th$692$500.0$1.0K$2.0K$5.0K$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
$602.56
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,897.79
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$1,445.44
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$4,786.30
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$5,495.41
Typical High
$8,317.64
Network Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$5,754.40
Typical High
$7,762.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$912.01
Quartz
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$691.83
Typical High
$1,000.00
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$5,623.41
Typical High
$5,623.41
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,079.46
Typical High
$8,709.64