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Incision Into the Urine Channel

New Jersey 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?

$200

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $6,026 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 5 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$170$145 to $263
FacilityA hospital or hospital-owned outpatient department$6,026$4,467 to $8,511

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,692 to $10,965Professionalmedian $170 · 10th to 90th $132 to $4,266
$200$500$1K$2K$5K$10Kfacility $6,026professional $170

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
$2,570.40
Median
$5,888.44
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$162.18
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$426.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$263.03
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,606.93
Typical High
$10,715.19
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$316.23

Where New Jersey 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.

New Jersey· 42nd of 51

$200

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.