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Widening The Urinary Opening In An Infant

Tennessee 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?

$115

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $2,512 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 5 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$87.10$74.13 to $115
FacilityA hospital or hospital-owned outpatient department$2,512$1,349 to $3,548

How much rates vary

Facilitymedian $2,512 · 10th to 90th $575 to $5,248Professionalmedian $87 · 10th to 90th $65 to $269
$100$200$500$1K$2K$5K$10Kfacility $2,512professional $87

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
$467.74
Median
$1,819.70
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,951.21
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$194.98
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$5,623.41
Typical High
$5,623.41
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$104.71
Typical High
$190.55

Where Tennessee 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.

Tennessee· 30th of 51

$115

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.