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Removing a Urethral Pouch in a Male

Connecticut 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?

$1,380

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $7,762 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$1,122$776 to $1,445
FacilityA hospital or hospital-owned outpatient department$7,762$5,248 to $9,120

How much rates vary

Facilitymedian $7,762 · 10th to 90th $4,677 to $13,183Professionalmedian $1,122 · 10th to 90th $603 to $1,950
$1K$2K$5K$10Kfacility $7,762professional $1,122

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
$4,570.88
Median
$7,079.46
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,122.02
Typical High
$2,089.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,135.61
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,174.90
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,778.28
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09

Where Connecticut 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.

Connecticut· 12th of 51

$1,380

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.