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Unlisted Procedure On The Urinary System

Idaho 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?

$955

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $2,884 from a physician practice, and about $603 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$2,884$263 to $2,884
FacilityA hospital or hospital-owned outpatient department$603$339 to $1,479

How much rates vary

Facilitymedian $603 · 10th to 90th $151 to $7,079Professionalmedian $2,884 · 10th to 90th $263 to $7,079
$50$200$1K$5Kfacility $603professional $2,884

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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$2,884.03
Typical High
$7,079.46
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$316.23
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$389.05
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$812.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$8,317.64
Typical High
$9,332.54

Where Idaho 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.

Idaho· 41st of 50

$955

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.