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Widening The Urinary Opening In An Infant

Virginia 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?

$95.50

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $2,630 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$81.28$72.44 to $112
FacilityA hospital or hospital-owned outpatient department$2,630$97.72 to $5,370

How much rates vary

Facilitymedian $2,630 · 10th to 90th $76 to $8,913Professionalmedian $81 · 10th to 90th $66 to $1,230
$50$200$1K$5Kfacility $2,630professional $81

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
$77.62
Median
$3,630.78
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$123.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$109.65
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$72.44
Typical High
$190.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$281.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$186.21
Sentara
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$234.42

Where Virginia 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.

Virginia· 37th of 51

$95.50

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.