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Incision Into the Urine Channel

Massachusetts 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?

$245

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $2,239 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 7 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$200$162 to $331
FacilityA hospital or hospital-owned outpatient department$2,239$1,148 to $3,388

How much rates vary

Facilitymedian $2,239 · 10th to 90th $155 to $5,623Professionalmedian $200 · 10th to 90th $141 to $468
$100$200$500$1K$2K$5K$10Kfacility $2,239professional $200

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
$1,000.00
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$467.74
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$4,265.80
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$223.87
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$426.58
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$181.97
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$154.88
Typical High
$229.09
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$436.52
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$4,265.80
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$223.87
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$630.96

Where Massachusetts 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.

Massachusetts· 32nd of 51

$245

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.