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Unlisted Procedure On The Urinary System

Ohio 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?

$1,023

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $1,023 for this service. Most negotiated rates run $427 to $3,236.

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.

How much rates vary

Facilitymedian $1,023 · 10th to 90th $138 to $10,233Professionalmedian $60 · 10th to 90th $40 to $10,233
$50$200$1K$5Kfacility $1,023professional $60

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
$1,949.84
Median
$3,548.13
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$3,235.94
Typical High
$12,589.25
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$2,187.76
Typical High
$12,022.64
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,584.89
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$588.84
Typical High
$2,691.53
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$588.84
Typical High
$2,691.53
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$50.12
Typical High
$60.26
United
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$275.42
Typical High
$2,398.83

Where Ohio 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.

Ohio· 15th of 51

$1,023

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.