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Widening The Urinary Opening In An Infant

South Dakota 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?

$126

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $182 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 7 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$117$70.79 to $158
FacilityA hospital or hospital-owned outpatient department$182$110 to $2,692

How much rates vary

Facilitymedian $182 · 10th to 90th $68 to $4,365Professionalmedian $117 · 10th to 90th $59 to $200
$100$200$500$1K$2Kfacility $182professional $117

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$64.57
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$158.49
Typical High
$199.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$338.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$123.03
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$158.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$138.04
Typical High
$190.55
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$154.88

Where South Dakota 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 Dakota· 24th of 51

$126

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.