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Biopsy Of The Urethra

Virginia 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?

$1,230

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $186 to $5,012.

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 $1,349 · 10th to 90th $158 to $8,318Professionalmedian $214 · 10th to 90th $129 to $372
$100$200$500$1K$2K$5K$10Kfacility $1,349professional $214

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
$162.18
Median
$2,041.74
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$501.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$371.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$316.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,182.57

Where Virginia 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.

Virginia· 35th of 50

$1,230

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.