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First Stage of a Staged Urine Channel Repair

Wisconsin 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.

Facilitymedian $10,233 · 10th–90th $4,365$16,9820%10%10th90th$10,233Professionalmedian $1,622 · 10th–90th $851$3,8900%10%10th90th$1,622$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
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,737.80
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$3,890.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,584.89
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$2,691.53
Typical High
$3,019.95
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$4,168.69
Typical High
$7,413.10
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$2,570.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$7,244.36
Typical High
$12,882.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,479.11
Typical High
$5,623.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,122.02
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$8,511.38
Typical High
$9,120.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,089.30
Typical High
$2,754.23
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,819.70
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,949.84
Typical High
$2,754.23
Quartz
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,488.17
Typical High
$15,488.17
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,691.53
Typical High
$8,128.31
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,897.79
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$10,232.93
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,412.54
Typical High
$3,630.78