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Widening The Urinary Opening In An Infant

South Carolina 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?

$83.18

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $5,623 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 $89.13
FacilityA hospital or hospital-owned outpatient department$5,623$1,862 to $9,550

How much rates vary

Facilitymedian $5,623 · 10th to 90th $83 to $16,982Professionalmedian $83 · 10th to 90th $66 to $174
$50$200$1K$5K$20Kfacility $5,623professional $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
$83.18
Median
$5,888.44
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$5,623.41
Typical High
$8,912.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$213.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$10,232.93
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$173.78

Where South Carolina 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.

South Carolina· 45th of 51

$83.18

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.