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Widening The Urinary Opening In An Infant

Massachusetts 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?

$112

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $2,239 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 7 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$89.13$72.44 to $151
FacilityA hospital or hospital-owned outpatient department$2,239$1,000 to $3,388

How much rates vary

Facilitymedian $2,239 · 10th to 90th $71 to $5,129Professionalmedian $89 · 10th to 90th $65 to $209
$50$200$1K$5Kfacility $2,239professional $89

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
$1,000.00
Median
$2,238.72
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$208.93
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,801.89
Typical High
$6,025.60
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$102.33
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$257.04
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$81.28
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$69.18
Typical High
$102.33
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$194.98
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,801.89
Typical High
$6,025.60
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$102.33
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$288.40

Where Massachusetts 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.

Massachusetts· 33rd of 51

$112

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.