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Widening The Urinary Opening In An Infant

Ohio 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?

$123

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $3,020 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 8 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$66.07 to $117
FacilityA hospital or hospital-owned outpatient department$3,020$1,698 to $4,786

How much rates vary

Facilitymedian $3,020 · 10th to 90th $224 to $10,715Professionalmedian $78 · 10th to 90th $59 to $2,630
$50$200$1K$5Kfacility $3,020professional $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
$128.82
Median
$3,162.28
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$131.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$69.18
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$194.98
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$4,168.69
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$81.28
Typical High
$158.49

Where Ohio 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.

Ohio· 26th of 51

$123

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.