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Urethral Reconstructive Repair

West Virginia rates for HCPCS 53460

This is a surgical repair of the urethra, the tube that carries urine from the bladder out of the body, used to correct a structural problem such as a narrowing or other abnormality. The goal is to restore normal urine flow through the passage. The specific technique and area repaired depend on the underlying problem being treated.

Rates data updated October 2026.

How much does Urethral Reconstructive Repair cost?

$2,029

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $2,029 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $1,413 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$617$427 to $1,175
Facility feeThe hospital or surgery center$1,413$1,230 to $2,455

How much rates vary

Facilitymedian $1,413 · 10th to 90th $741 to $4,677Professionalmedian $617 · 10th to 90th $389 to $1,380
$500$1K$2K$5K$10Kfacility $1,413professional $617

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
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$457.09
CareSource
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$741.31
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$707.95
Typical High
$2,951.21
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$9,772.37
United
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$524.81
Typical High
$1,174.90

Where West Virginia sits

The same service costs 5.2 times more in Oklahoma than in Montana. 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.

Physician feeFacility fee

West Virginia· 45th of 51

$2,029

$617 physician + $1,413 facility

OK $7,535MT $1,449

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.