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Open Bladder Surgery To Remove Bladder Neck Tissue

North Carolina rates for HCPCS 51520

Surgery that opens the bladder through an incision in the lower abdomen so the surgeon can cut away tissue at the bladder neck, the narrow outlet where the bladder empties into the urethra. It is done when scarring or overgrowth at that outlet is blocking the flow of urine.

Rates data updated July 2026.

How much does Open Bladder Surgery To Remove Bladder Neck Tissue cost?

$794

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $1,995 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$724$575 to $1,175
FacilityA hospital or hospital-owned outpatient department$1,995$891 to $8,318

How much rates vary

Facilitymedian $1,995 · 10th to 90th $575 to $10,471Professionalmedian $724 · 10th to 90th $575 to $1,698
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $1,995professional $724

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,238.72
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$851.14
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,513.56
Medcost
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$1,202.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,380.38
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$33,884.42
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37

Where North Carolina sits

The same service costs 10.5 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $794 · 40th of 51
CA $6,607WV $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.