go back

Removing a Urethral Pouch in a Male

Kentucky 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?

$977

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $3,311 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 6 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$692$631 to $851
FacilityA hospital or hospital-owned outpatient department$3,311$1,950 to $6,761

How much rates vary

Facilitymedian $3,311 · 10th to 90th $851 to $8,511Professionalmedian $692 · 10th to 90th $575 to $1,349
$50.0$200.0$1.0K$5.0Kfacility $3,311professional $692

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
$616.60
Median
$1,202.26
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,995.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$891.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$954.99
CareSource
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$831.76
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,071.52
Typical High
$3,890.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$1,230.27

Where Kentucky 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.

Kentucky $977 · 33rd 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.