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Widening The Opening At The Tip Of The Urethra

South Dakota rates for HCPCS 53020

Makes a small cut to enlarge the opening at the tip of the urethra when it has become too narrow and is slowing or spraying the urine stream. Widening the opening restores a normal flow. This version applies to patients beyond infancy.

Rates data updated October 2026.

How much does Widening The Opening At The Tip Of The Urethra cost?

$1,585

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $1,585 for this procedure. That total is two separate charges: $204 to the doctor who performs it, and $1,380 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$204$155 to $240
Facility feeThe hospital or surgery center$1,380$174 to $1,514

How much rates vary

Facilitymedian $1,380 · 10th to 90th $138 to $1,820Professionalmedian $204 · 10th to 90th $100 to $269
$100$200$500$1K$2Kfacility $1,380professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$1,174.90
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$229.09
Typical High
$275.42
Medica
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$199.53
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$257.04
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$229.09
Typical High
$229.09
Midlands
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,258.93
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$158.49
Typical High
$186.21
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$239.88
Typical High
$269.15
Wellmark
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$208.93
Typical High
$208.93

Where South Dakota sits

The same service costs 15.6 times more in Colorado than in Montana. 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.

Physician feeFacility fee

South Dakota· 31st of 51

$1,585

$204 physician + $1,380 facility

CO $4,608MT $296

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.