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Unlisted Procedure On The Urinary System

North Carolina 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?

$372

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $324 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$316 to $1,047
FacilityA hospital or hospital-owned outpatient department$324$123 to $1,000

How much rates vary

Facilitymedian $324 · 10th to 90th $81 to $5,495Professionalmedian $1,047 · 10th to 90th $316 to $5,248
$50$200$1K$5K$20Kfacility $324professional $1,047

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
$870.96
Median
$2,630.27
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$2,630.27
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$851.14
Typical High
$29,512.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Medcost
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$1,047.13
United
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$165.96
Typical High
$1,096.48

Where North Carolina 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.

North Carolina· 38th of 51

$372

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.