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Removing a Urethral Pouch in a Male

Maine 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?

$871

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $724 to $1,023.

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 $10,965 · 10th to 90th $10,965 to $10,965Professionalmedian $871 · 10th to 90th $646 to $1,259
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $10,965professional $871

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
$645.65
Median
$812.83
Typical High
$912.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,412.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,445.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,621.81

Where Maine 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.

Maine $871 · 38th 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.