go back

Removing a Urethral Pouch in a Male

Rhode Island 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?

$832

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $832 for this service. Most negotiated rates run $646 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,570 to $8,913Professionalmedian $794 · 10th to 90th $646 to $1,175
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,715professional $794

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
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,230.27

Where Rhode Island 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.

Rhode Island $832 · 42nd 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.