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Removing a Urethral Pouch in a Male

Utah 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?

$1,023

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $5,888 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 7 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$891$794 to $1,413
FacilityA hospital or hospital-owned outpatient department$5,888$3,388 to $7,943

How much rates vary

Facilitymedian $5,888 · 10th to 90th $891 to $10,233Professionalmedian $891 · 10th to 90th $603 to $2,089
$50.0$200.0$1.0K$5.0K$20.0Kfacility $5,888professional $891

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
$891.25
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,513.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,000.00
Typical High
$15,135.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,318.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,047.13
Typical High
$1,202.26
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$1,318.26

Where Utah 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.

Utah $1,023 · 28th 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.