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California rates for HCPCS 53400

Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)

Facilitymedian $7,762 · 10th–90th $3,236–$15,8490%5%10%10th90th$7,762Professionalmedian $891 · 10th–90th $550–$1,8620%10%20%10th90th$891$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $7,413.10 / $18,620.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,128.31 / $15,848.93
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $6,025.60 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $645.65 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $912.01 / $1,995.26
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $45,708.82 / $45,708.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,047.13 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $10,000.00 / $20,417.38