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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 July 2026.

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

$162

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $145 to $186.

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.

How much rates vary

Facilitymedian $257 · 10th to 90th $105 to $4,365Professionalmedian $162 · 10th to 90th $129 to $195
$100$200$500$1K$2Kfacility $257professional $162

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$2,290.87
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$338.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$229.09
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$4,265.80

Where South Dakota sits

The same service costs 100.0 times more in Maine 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.

South Dakota· 47th of 50

$162

ME $9,120WV $91.20

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.