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Widening The Urinary Opening In An Infant

West 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?

$72.44

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $63.10 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 4 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$67.61 to $77.62
FacilityA hospital or hospital-owned outpatient department$63.10$63.10 to $1,230

How much rates vary

Facilitymedian $63 · 10th to 90th $63 to $1,413Professionalmedian $72 · 10th to 90th $63 to $112
$50$100$200$500$1K$2K$5Kfacility $63professional $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
$63.10
Median
$63.10
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$77.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$89.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$263.03

Where West 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.

West Virginia· 51st of 51

$72.44

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.