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Removing a Urethral Pouch in a Male

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $1,549 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$933$676 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,549$851 to $6,761

How much rates vary

Facilitymedian $1,549 · 10th to 90th $617 to $8,710Professionalmedian $933 · 10th to 90th $617 to $1,862
$200.0$1.0K$5.0K$20.0Kfacility $1,549professional $933

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
$1,659.59
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,202.26
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,621.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$870.96
Typical High
$1,318.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$1,445.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41

Where North Carolina 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.

North Carolina $977 · 34th 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.