go back

Removing a Urethral Pouch in a Male

Maryland 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?

$676

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $676 for this service. Most negotiated rates run $646 to $851.

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.

How much rates vary

Facilitymedian $2,630 · 10th to 90th $1,622 to $10,965Professionalmedian $676 · 10th to 90th $617 to $1,698
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,630professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$676.08
Typical High
$3,388.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,737.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,348.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$912.01

Where Maryland 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.

Maryland $676 · 49th 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.