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Widening The Urinary Opening In An Infant

New Jersey 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?

$91.20

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $5,888 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$75.86$67.61 to $123
FacilityA hospital or hospital-owned outpatient department$5,888$4,365 to $8,511

How much rates vary

Facilitymedian $5,888 · 10th to 90th $2,692 to $10,965Professionalmedian $76 · 10th to 90th $60 to $4,266
$100$200$500$1K$2K$5K$10Kfacility $5,888professional $76

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
$2,691.53
Median
$5,888.44
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$72.44
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$107.15
Typical High
$269.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$117.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,918.31
Typical High
$10,471.29
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$77.62
Typical High
$147.91

Where New Jersey 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.

New Jersey· 39th of 51

$91.20

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.