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Incision Into the Urine Channel

Virginia 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?

$204

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $2,570 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$174$158 to $251
FacilityA hospital or hospital-owned outpatient department$2,570$224 to $5,248

How much rates vary

Facilitymedian $2,570 · 10th to 90th $166 to $8,710Professionalmedian $174 · 10th to 90th $141 to $2,042
$100$200$500$1K$2K$5K$10Kfacility $2,570professional $174

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
$165.96
Median
$3,235.94
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$165.96
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$269.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$416.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$346.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$316.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$323.59

Where Virginia 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.

Virginia· 39th of 51

$204

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.