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California rates for HCPCS 53405

Urethroplasty; second stage (formation of urethra), including urinary diversion

Facilitymedian $6,166 · 10th–90th $2,630$13,8040%5%10%10th90th$6,166Professionalmedian $1,122 · 10th–90th $832$3,7150%10%10th90th$1,122$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
$2,454.71 / $6,456.54 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,071.52 / $4,677.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,380.38 / $2,951.21
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $5,495.41 / $10,232.93
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,318.26 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,096.48 / $2,511.89
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $891.25 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $977.24 / $1,862.09
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,244.36 / $7,244.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,202.26 / $1,862.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,096.48 / $2,290.87
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $891.25 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $10,000.00 / $20,417.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,071.52 / $2,511.89