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Widening The Urinary Opening In An Infant

Indiana rates for HCPCS 53025

A small cut that widens the opening at the tip of the urethra where urine leaves the body, done in an infant whose opening is too narrow. Opening it up restores a normal urine stream.

Rates data updated July 2026.

How much does Widening The Urinary Opening In An Infant cost?

$162

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $7,244 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 5 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$85.11$69.18 to $132
FacilityA hospital or hospital-owned outpatient department$7,244$4,898 to $9,550

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,380 to $10,471Professionalmedian $85 · 10th to 90th $63 to $200
$100$200$500$1K$2K$5K$10Kfacility $7,244professional $85

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
$77.62
Median
$3,801.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$8,317.64
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$131.83
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$141.25

Where Indiana sits

The same service costs 44.7 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.

Indiana· 15th of 51

$162

CA $3,236WV $72.44

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.