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Removing a Urethral Pouch in a Male

Alabama rates for HCPCS 53235

Removes an abnormal pouch that has formed off the urethra, the tube that carries urine out of the body, in a male patient. The pouch traps urine and causes infection, dribbling, or pain; it is cut away and the urethra is repaired around the opening.

Rates data updated July 2026.

How much does Removing a Urethral Pouch in a Male cost?

$1,259

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $3,090 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,202$646 to $1,259
FacilityA hospital or hospital-owned outpatient department$3,090$1,259 to $8,128

How much rates vary

Facilitymedian $3,090 · 10th to 90th $851 to $9,772Professionalmedian $1,202 · 10th to 90th $603 to $1,698
$500$1K$2K$5K$10Kfacility $3,090professional $1,202

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
$794.33
Median
$1,230.27
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,258.93
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$8,709.64
Typical High
$11,748.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$776.25
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,019.95
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$1,023.29

Where Alabama sits

The same service costs 8.3 times more in California than in Delaware. 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.

Alabama· 15th of 51

$1,259

CA $5,623DE $676

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.