go back

Widening The Opening At The Tip Of The Urethra

West Virginia 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?

$1,551

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $1,551 for this procedure. That total is two separate charges: $138 to the doctor who performs it, and $1,413 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$138$95.50 to $257
Facility feeThe hospital or surgery center$1,413$1,230 to $2,455

How much rates vary

Facilitymedian $1,413 · 10th to 90th $398 to $2,754Professionalmedian $138 · 10th to 90th $83 to $295
$100$200$500$1K$2K$5Kfacility $1,413professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$100.00
CareSource
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$398.11
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$151.36
Typical High
$1,412.54
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$5,888.44
United
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$138.04
Typical High
$257.04

Where West Virginia 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

West Virginia· 36th of 51

$1,551

$138 physician + $1,413 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.