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Removing a Urethral Pouch in a Male

Washington, DC 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 October 2026.

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

$724

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $724 for this service. Most negotiated rates run $676 to $2,138.

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.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,288 to $19,953Professionalmedian $692 · 10th to 90th $617 to $4,365
$1K$2K$5K$10K$20Kfacility $4,074professional $692

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$676.08
Median
$3,388.44
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$691.83
CareFirst
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$691.83
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$794.33
Typical High
$2,290.87
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$630.96
Typical High
$1,445.44
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$5,754.40
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$912.01
Typical High
$1,698.24

Where Washington, DC sits

The same service costs 5.4 times more in Alaska than in Utah. 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.

Washington, DC· 46th of 51

$724

AK $2,570UT $479

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.