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Incision Into the Urine Channel

Illinois rates for HCPCS 53000

A cut made from the outside into the urethra, the channel carrying urine out of the body, performed as a procedure in its own right rather than as part of a larger operation. It is used to relieve a blockage, to let infected material drain, or to create an opening through which urine can pass.

Rates data updated July 2026.

How much does Incision Into the Urine Channel cost?

$275

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $1,778 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$186$151 to $275
FacilityA hospital or hospital-owned outpatient department$1,778$933 to $3,311

How much rates vary

Facilitymedian $1,778 · 10th to 90th $275 to $5,623Professionalmedian $186 · 10th to 90th $145 to $468
$200$500$1K$2K$5K$10Kfacility $1,778professional $186

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
$275.42
Median
$1,380.38
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,019.95
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$331.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$676.08
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$331.13

Where Illinois sits

The same service costs 20.4 times more in California than in West Virginia. 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.

Illinois· 25th of 51

$275

CA $3,236WV $158

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.