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Removing a Urethral Pouch in a Male

Vermont 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?

$851

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $851 for this service. Most negotiated rates run $851 to $851.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $851 · 10th to 90th $813 to $1,202
$200$500$1K$2Kprofessional $851

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
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$812.83
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$2,691.53

Where Vermont 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.

Vermont· 40th of 51

$851

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.