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Unlisted Procedure On The Urinary System

Illinois 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?

$1,380

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,622 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$1,023$380 to $2,692
FacilityA hospital or hospital-owned outpatient department$1,622$977 to $3,236

How much rates vary

Facilitymedian $1,622 · 10th to 90th $437 to $5,623Professionalmedian $1,023 · 10th to 90th $166 to $5,623
$200$500$1K$2K$5K$10Kfacility $1,622professional $1,023

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
$812.83
Median
$1,862.09
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$1,023.29
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$426.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$676.08
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where Illinois 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.

Illinois· 37th of 50

$1,380

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.