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Removing a Urethral Pouch in a Male

Nebraska 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?

$1,479

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $8,511 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$1,175$724 to $1,479
FacilityA hospital or hospital-owned outpatient department$8,511$6,166 to $12,589

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,169 to $14,454Professionalmedian $1,175 · 10th to 90th $589 to $3,388
$1K$2K$5K$10K$20Kfacility $8,511professional $1,175

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
$5,754.40
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,174.90
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$12,589.25
Typical High
$24,547.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$977.24
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$8,511.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,318.26
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$5,623.41
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,318.26
Typical High
$1,778.28

Where Nebraska sits

The same service costs 8.3 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 11th of 51

$1,479

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.