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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 October 2026.

How much does Removing a Urethral Pouch in a Male cost?

$977

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $851 to $1,047.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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

Facilitymedian $1,698 · 10th to 90th $468 to $6,026Professionalmedian $933 · 10th to 90th $631 to $1,445
$200$500$1K$2K$5Kfacility $1,698professional $933

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$1,047.13
Typical High
$1,047.13
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$933.25
Typical High
$1,548.82

Where Vermont sits

The same service costs 5.4 times more in Alaska than in Utah. 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· 23rd of 51

$977

AK $2,570UT $479

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.