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First Stage of a Staged Urine Channel Repair

New Jersey rates for HCPCS 53420

The first operation in a two-part reconstruction of the urethra, the channel carrying urine out of the body, used when a narrowing or defect is too long or too scarred to correct in a single sitting. This stage opens the channel and lays out the tissue that will form it, which is then left to settle and heal before the reconstruction is completed later.

Rates data updated July 2026.

How much does First Stage of a Staged Urine Channel Repair cost?

$1,148

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $7,079 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$912$832 to $1,479
FacilityA hospital or hospital-owned outpatient department$7,079$6,026 to $10,000

How much rates vary

Facilitymedian $7,079 · 10th to 90th $4,169 to $11,749Professionalmedian $912 · 10th to 90th $741 to $5,888
$1K$2K$5K$10K$20Kfacility $7,079professional $912

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
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$6,918.31
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,122.02
Typical High
$2,137.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,412.54
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$16,982.44
Typical High
$25,703.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,413.10
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$1,778.28

Where New Jersey sits

The same service costs 6.3 times more in California than in Maryland. 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.

New Jersey· 37th of 51

$1,148

CA $5,623MD $891

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.