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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 July 2026.

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

$724

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

Insurers have agreed to pay about $724 for this service. Most negotiated rates run $676 to $4,074.

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 $676 to $7,762Professionalmedian $676 · 10th to 90th $676 to $1,288
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,074professional $676

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
$676.08
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$724.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$5,011.87
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,964.78
Typical High
$28,840.32
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$933.25
Typical High
$1,621.81

Where Washington, DC 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.

Washington, DC $724 · 48th 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.