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Unlisted Procedure On The Urinary System

Connecticut 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?

$4,365

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $54,954 from a physician practice, and about $4,365 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 4 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$54,954$64.57 to $54,954
FacilityA hospital or hospital-owned outpatient department$4,365$3,162 to $5,129

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,089 to $8,511Professionalmedian $54,954 · 10th to 90th $0 to $54,954
$0.1$1$10$100$1K$10K$100Kfacility $4,365professional $54,954

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. 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
Global
Typical Low
$2,137.96
Median
$4,570.88
Typical High
$8,128.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,162.28
Typical High
$10,232.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$54,954.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Connecticut 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.

Connecticut· 5th of 50

$4,365

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.