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Incision Into the Urine Channel

New York 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?

$417

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $4,074 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 9 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$178$145 to $269
FacilityA hospital or hospital-owned outpatient department$4,074$2,630 to $6,166

How much rates vary

Facilitymedian $4,074 · 10th to 90th $245 to $8,913Professionalmedian $178 · 10th to 90th $120 to $479
$100$200$500$1K$2K$5K$10Kfacility $4,074professional $178

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
$186.21
Median
$3,090.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$380.19
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$1,258.93
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$309.03
Typical High
$676.08
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$537.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$288.40
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$316.23
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$501.19
Univera
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$512.86
Univera
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$467.74

Where New York 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 York· 11th of 51

$417

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.