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Reconstruction Of The Bladder Outlet For Leakage

Vermont 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 October 2026.

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

$1,778

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,778 for this service. Most negotiated rates run $1,549 to $1,905.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,188 · 10th to 90th $407 to $6,026Professionalmedian $1,698 · 10th to 90th $1,148 to $2,630
$500$1K$2K$5Kfacility $2,188professional $1,698

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$1,905.46
Typical High
$1,905.46
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,698.24
Typical High
$2,818.38

Where Vermont sits

The same service costs 5.8 times more in Alaska than in Utah. 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.

Vermont· 19th of 51

$1,778

AK $4,677UT $813

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.