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Widening The Urinary Opening In An Infant

Kentucky 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?

$83.18

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $3,890 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 6 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$77.62$67.61 to $100
FacilityA hospital or hospital-owned outpatient department$3,890$398 to $8,511

How much rates vary

Facilitymedian $3,890 · 10th to 90th $83 to $10,715Professionalmedian $78 · 10th to 90th $63 to $245
$100$200$500$1K$2K$5K$10Kfacility $3,890professional $78

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
$83.18
Median
$1,778.28
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$69.18
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$102.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$89.13
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,467.37
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$151.36

Where Kentucky 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.

Kentucky· 46th of 51

$83.18

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.