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Removing a Urethral Pouch in a Male

Idaho 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?

$1,047

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $4,467 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 8 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$955$813 to $1,259
FacilityA hospital or hospital-owned outpatient department$4,467$1,413 to $9,772

How much rates vary

Facilitymedian $4,467 · 10th to 90th $832 to $13,183Professionalmedian $955 · 10th to 90th $646 to $1,445
$50.0$200.0$1.0K$5.0K$20.0Kfacility $4,467professional $955

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
$2,884.03
Median
$4,466.84
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,011.87
Typical High
$13,489.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,202.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,778.28
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,000.00
Typical High
$1,258.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$11,748.98
Typical High
$16,982.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$1,230.27
Select Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$3,981.07
Typical High
$8,128.31
Select Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$1,288.25

Where Idaho 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.

Idaho $1,047 · 27th 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.