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Incision Into the Urine Channel

Kentucky 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?

$372

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $2,089 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$174$148 to $245
FacilityA hospital or hospital-owned outpatient department$2,089$1,413 to $2,818

How much rates vary

Facilitymedian $2,089 · 10th to 90th $794 to $3,890Professionalmedian $174 · 10th to 90th $141 to $437
$100$200$500$1K$2K$5Kfacility $2,089professional $174

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
$177.83
Median
$1,000.00
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$467.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$218.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,467.37
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$288.40

Where Kentucky 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.

Kentucky· 14th of 51

$372

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.