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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 October 2026.

How much does Unlisted Procedure On The Urinary System cost?

$2,291

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $2,291 for this service. The price depends on where it is billed: about $2,291 from a physician practice, and about $2,239 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,291$398 to $7,762
FacilityA hospital or hospital-owned outpatient department$2,239$724 to $4,266

How much rates vary

Facilitymedian $2,239 · 10th to 90th $447 to $7,413Professionalmedian $2,291 · 10th to 90th $398 to $13,804
$100$1K$10Kfacility $2,239professional $2,291

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$4,786.30
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$7,244.36
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$812.83
Typical High
$891.25
CDPHP
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,778.28
Typical High
$7,762.47
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$363.08
Typical High
$5,248.07
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$1,148.15
Typical High
$4,365.16
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where New York 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 York· 5th of 51

$2,291

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.