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Bladder Removal With A New Urine Channel From Bowel

Nebraska rates for HCPCS 51590

Removes the whole bladder and builds a new route for urine using a length of the patient's own intestine, with the ureters joined into it so urine can leave the body. The bowel is then reconnected so digestion continues as normal. It is most often done for bladder cancer that has grown into the muscle of the bladder wall.

Rates data updated October 2026.

How much does Bladder Removal With A New Urine Channel From Bowel cost?

$7,405

Typical total for the visit. In Nebraska, October 2026.

Insurers have agreed to pay about $7,405 for this procedure. That total is two separate charges: $4,169 to the doctor who performs it, and $3,236 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$4,169$3,388 to $4,571
Facility feeThe hospital or surgery center$3,236$676 to $8,511

How much rates vary

Facilitymedian $3,236 · 10th to 90th $537 to $12,589Professionalmedian $4,169 · 10th to 90th $2,512 to $5,888
$100$500$2K$10Kfacility $3,236professional $4,169

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$7,943.28
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$11,220.18
Typical High
$22,908.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$4,265.80
Typical High
$5,888.44
Medica
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$977.24
Typical High
$4,365.16
Medica
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$4,073.80
Typical High
$31,622.78
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$5,888.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$3,715.35
Typical High
$4,168.69
United
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$891.25
Typical High
$3,801.89
United
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$4,168.69
Typical High
$5,495.41

Where Nebraska sits

The same service costs 9.7 times more in Maine than in Maryland. 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.

Physician feeFacility fee

Nebraska· 12th of 51

$7,405

$4,169 physician + $3,236 facility

ME $25,600MD $2,652

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.