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Incision Into the Urine Channel

Ohio 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?

$263

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $2,884 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 8 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$182$148 to $257
FacilityA hospital or hospital-owned outpatient department$2,884$1,585 to $4,786

How much rates vary

Facilitymedian $2,884 · 10th to 90th $490 to $10,715Professionalmedian $182 · 10th to 90th $138 to $2,512
$50$200$1K$5Kfacility $2,884professional $182

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
$281.84
Median
$3,162.28
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,754.23
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$302.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$151.36
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$239.88
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$316.23
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$4,168.69
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$295.12

Where Ohio 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.

Ohio· 27th of 51

$263

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.