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Unlisted Procedure On The Urinary System

Kentucky 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 October 2026.

How much does Unlisted Procedure On The Urinary System cost?

$158

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $513 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$52.48 to $95.50
FacilityA hospital or hospital-owned outpatient department$513$120 to $1,585

How much rates vary

Facilitymedian $513 · 10th to 90th $71 to $4,169Professionalmedian $68 · 10th to 90th $50 to $107
$100$1K$10K$100Kfacility $513professional $68

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
$398.11
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$5,128.61
Typical High
$11,220.18
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,995.26
Typical High
$2,884.03
CareSource
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$87.10
Typical High
$107.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$467.74
Typical High
$794.33
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$67.61
United
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$186.21
Typical High
$1,148.15

Where Kentucky sits

The same service costs 158.5 times more in Alaska than in Hawaii. 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.

Kentucky· 47th of 51

$158

AK $4,677HI $29.51

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.