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Removing a Urethral Pouch in a Male

Tennessee 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?

$955

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $3,020 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 5 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$813$692 to $1,000
FacilityA hospital or hospital-owned outpatient department$3,020$2,089 to $5,012

How much rates vary

Facilitymedian $3,020 · 10th to 90th $933 to $7,586Professionalmedian $813 · 10th to 90th $617 to $2,089
$200.0$1.0K$5.0K$20.0Kfacility $3,020professional $813

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
$794.33
Median
$2,398.83
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,258.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,370.32
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,288.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$45,708.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,548.13
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$870.96
Typical High
$1,412.54

Where Tennessee 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.

Tennessee $955 · 36th 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.