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Removing a Urethral Pouch in a Male

Arizona 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?

$1,023

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $3,715 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 5 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$724$631 to $891
FacilityA hospital or hospital-owned outpatient department$3,715$2,399 to $5,129

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,259 to $7,762Professionalmedian $724 · 10th to 90th $589 to $3,020
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,715professional $724

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
$2,187.76
Median
$4,466.84
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,754.23
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,630.78
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$1,202.26

Where Arizona sits

The same service costs 8.3 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $1,023 · 30th of 51
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.