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Widening The Urinary Opening In An Infant

Michigan 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?

$87.10

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $3,631 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$83.18$67.61 to $91.20
FacilityA hospital or hospital-owned outpatient department$3,631$2,042 to $4,898

How much rates vary

Facilitymedian $3,631 · 10th to 90th $170 to $9,120Professionalmedian $83 · 10th to 90th $63 to $98
$100$200$500$1K$2K$5K$10Kfacility $3,631professional $83

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
$467.74
Median
$4,897.79
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$87.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$218.78
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$104.71
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$4,168.69
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$120.23

Where Michigan 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.

Michigan· 43rd of 51

$87.10

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.