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Biopsy Of The Urethra

Illinois rates for HCPCS 53200

Takes a small tissue sample from the urethra, the tube that carries urine out of the body, so it can be examined under a microscope. It is done to find out what an abnormal area, growth, or narrowing in the urethra actually is.

Rates data updated July 2026.

How much does Biopsy Of The Urethra cost?

$1,122

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $295 to $2,884.

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.

How much rates vary

Facilitymedian $1,380 · 10th to 90th $191 to $5,495Professionalmedian $257 · 10th to 90th $170 to $741
$200$500$1K$2K$5K$10Kfacility $1,380professional $257

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
$162.18
Median
$1,258.93
Typical High
$5,370.32
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,019.95
Typical High
$3,981.07
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$741.31
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$6,165.95

Where Illinois sits

The same service costs 41.7 times more in Indiana 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.

Illinois· 36th of 50

$1,122

IN $6,166WV $148

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.