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Widening The Urinary Opening In An Infant

New York 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?

$219

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $4,074 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 9 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$67.61 to $126
FacilityA hospital or hospital-owned outpatient department$4,074$2,630 to $6,166

How much rates vary

Facilitymedian $4,074 · 10th to 90th $115 to $8,913Professionalmedian $85 · 10th to 90th $59 to $240
$50$200$1K$5Kfacility $4,074professional $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
$89.13
Median
$3,090.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$177.83
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$109.65
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$151.36
Typical High
$380.19
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$72.44
Typical High
$165.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$134.90
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$144.54
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$95.50
Typical High
$234.42
Univera
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$234.42
Univera
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$208.93

Where New York 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 York· 9th of 51

$219

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.