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Incision Into the Urine Channel

New Mexico 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?

$186

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $1,000 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$186$145 to $234
FacilityA hospital or hospital-owned outpatient department$1,000$219 to $5,012

How much rates vary

Facilitymedian $1,000 · 10th to 90th $191 to $7,762Professionalmedian $186 · 10th to 90th $145 to $813
$50$200$1K$5Kfacility $1,000professional $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
$213.80
Median
$1,047.13
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$213.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$338.84

Where New Mexico 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 Mexico· 46th of 51

$186

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.