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Incision Into the Urine Channel

North Carolina 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?

$224

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $933 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$204$158 to $288
FacilityA hospital or hospital-owned outpatient department$933$229 to $5,248

How much rates vary

Facilitymedian $933 · 10th to 90th $145 to $8,511Professionalmedian $204 · 10th to 90th $145 to $437
$100$200$500$1K$2K$5K$10Kfacility $933professional $204

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
$144.54
Median
$1,288.25
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$380.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$354.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$338.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,238.72
Typical High
$2,238.72

Where North Carolina 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.

North Carolina· 36th of 51

$224

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.