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Biopsy Of The Urethra

Montana 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 October 2026.

How much does Biopsy Of The Urethra cost?

$475

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $475 for this procedure. That total is two separate charges: $224 to the doctor who performs it, and $251 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$224$178 to $251
Facility feeThe hospital or surgery center$251$224 to $288

How much rates vary

Facilitymedian $251 · 10th to 90th $209 to $1,622Professionalmedian $224 · 10th to 90th $135 to $282
$100$200$500$1K$2K$5Kfacility $251professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$165.96
Typical High
$354.81
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$251.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$1,621.81
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$251.19
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$229.09
Typical High
$309.03
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$218.78
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$1,621.81
Typical High
$4,570.88
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$213.80
Typical High
$251.19
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$257.04
Typical High
$354.81

Where Montana sits

The same service costs 10.0 times more in Colorado than in North Dakota. 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.

Physician feeFacility fee

Montana· 50th of 51

$475

$224 physician + $251 facility

CO $4,594ND $460

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.