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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.

Facilitymedian $257 · 10th–90th $105$4,3650%10%20%10th90th$257Professionalmedian $162 · 10th–90th $129$1950%20%10th90th$162$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

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