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Unlisted Procedure On The Urinary System

New York 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?

$3,090

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $3,981 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$676$324 to $1,148
FacilityA hospital or hospital-owned outpatient department$3,981$2,291 to $7,413

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,585 to $10,965Professionalmedian $676 · 10th to 90th $191 to $7,586
$100$500$2K$10Kfacility $3,981professional $676

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
$1,698.24
Median
$4,365.16
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$676.08
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$891.25
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$7,762.47
Typical High
$43,651.58
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$363.08
Typical High
$5,248.07
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,511.89
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$64.57

Where New York 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.

New York· 17th of 50

$3,090

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.