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Opening And Draining A Urethral Pouch

Maryland rates for HCPCS 53240

A diverticulum, a pouch that has formed off the side of the urethra, is opened and its edges are stitched to the surrounding lining so it stays open. Instead of being removed, the pouch is laid open so urine no longer collects and stagnates in it.

Rates data updated July 2026.

How much does Opening And Draining A Urethral Pouch cost?

$457

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $457 for this service. Most negotiated rates run $427 to $575.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,738 to $7,244Professionalmedian $457 · 10th to 90th $417 to $1,148
$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,239professional $457

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
Professional
Modifier
Global
Typical Low
$416.87
Median
$457.09
Typical High
$2,290.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$912.01
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$630.96

Where Maryland sits

The same service costs 9.8 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $457 · 50th of 51
CA $4,467DE $457

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.