go back

Widening The Urinary Opening In An Infant

Pennsylvania 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?

$100

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $2,692 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$72.44$63.10 to $87.10
FacilityA hospital or hospital-owned outpatient department$2,692$1,585 to $5,370

How much rates vary

Facilitymedian $2,692 · 10th to 90th $661 to $8,318Professionalmedian $72 · 10th to 90th $60 to $209
$100$200$500$1K$2K$5K$10Kfacility $2,692professional $72

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
$660.69
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$371.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$199.53
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$107.15
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$181.97
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,398.83
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$223.87
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$3,548.13
Typical High
$6,165.95
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$66.07
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,630.78
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$154.88

Where Pennsylvania 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.

Pennsylvania· 36th of 51

$100

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.