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Unlisted Procedure On The Urinary System

New Mexico 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?

$447

Typical facility fee. In New Mexico, October 2026.

Insurers have agreed to pay about $447 for this service. Most negotiated rates run $229 to $661.

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.

How much rates vary

Facilitymedian $490 · 10th to 90th $200 to $7,762Professionalmedian $60 · 10th to 90th $60 to $85
$100$1K$10K$100Kfacility $490professional $60

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
$1,000.00
Median
$2,089.30
Typical High
$7,762.47
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$398.11
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$602.56
Typical High
$707.95
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$125,892.54
Typical High
$251,188.64
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$275.42
Typical High
$1,318.26

Where New Mexico 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.

New Mexico· 35th of 51

$447

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.