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Biopsy Of The Urethra

South Dakota 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?

$263

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $229 to $309.

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.

How much rates vary

Facilitymedian $331 · 10th to 90th $174 to $4,365Professionalmedian $263 · 10th to 90th $204 to $316
$200$500$1K$2Kfacility $331professional $263

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$2,290.87
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$363.08
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$4,265.80

Where South Dakota 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.

South Dakota· 45th of 50

$263

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.