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Biopsy Of The Urethra

North Carolina 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?

$550

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $214 to $3,388.

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 $550 · 10th to 90th $155 to $6,457
$200$500$1K$2K$5K$10Kfacility $550

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
$154.88
Median
$1,288.25
Typical High
$5,495.41
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$12,882.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$19,498.45

Where North Carolina 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.

North Carolina· 39th of 50

$550

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.