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Reconstruction Of The Bladder Outlet For Leakage

Connecticut rates for HCPCS 53431

Reconstructive surgery that reshapes the lower part of the bladder and the top of the urine tube into a narrower channel so it holds urine back better. It is used for severe urinary leakage that has not responded to simpler treatment.

Rates data updated July 2026.

How much does Reconstruction Of The Bladder Outlet For Leakage cost?

$2,570

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $5,888 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$2,042$1,413 to $2,692
FacilityA hospital or hospital-owned outpatient department$5,888$4,898 to $8,511

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,890 to $13,183Professionalmedian $2,042 · 10th to 90th $1,096 to $3,548
$1K$2K$5K$10Kfacility $5,888professional $2,042

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
$3,890.45
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$2,041.74
Typical High
$3,801.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$13,803.84
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$2,238.72
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,949.84
Typical High
$3,311.31
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,709.64
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,659.59
Typical High
$3,548.13

Where Connecticut sits

The same service costs 4.7 times more in California than in West Virginia. 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.

Connecticut· 8th of 51

$2,570

CA $5,754WV $1,230

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.