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Unlisted Procedure On The Urinary System

California rates for HCPCS 53899

Covers a procedure on the urinary system — the kidneys, ureters, bladder and urethra — that has no standard named entry of its own. It is used when what was performed does not match any established named urinary procedure, and the doctor supplies a written description of what was done.

Rates data updated July 2026.

How much does Unlisted Procedure On The Urinary System cost?

$3,467

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $4,467 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 7 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$1,820$380 to $3,467
FacilityA hospital or hospital-owned outpatient department$4,467$2,239 to $8,913

How much rates vary

Facilitymedian $4,467 · 10th to 90th $832 to $15,136Professionalmedian $1,820 · 10th to 90th $339 to $9,550
$100$500$2K$10Kfacility $4,467professional $1,820

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
$1,778.28
Median
$6,165.95
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,819.70
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,090.30
Typical High
$10,964.78
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$3,090.30
Typical High
$6,760.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$398.11
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$56.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,584.89
Typical High
$6,456.54

Where California sits

The same service costs 57.5 times more in New Hampshire than in South Dakota. 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.

California· 13th of 50

$3,467

NH $10,715SD $186

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.