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Unlisted Procedure On The Urinary System

South 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?

$355

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $407 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$30.20 to $30.20
FacilityA hospital or hospital-owned outpatient department$407$200 to $724

How much rates vary

Facilitymedian $407 · 10th to 90th $110 to $1,995Professionalmedian $30 · 10th to 90th $30 to $55
$50$200$1K$5Kfacility $407professional $30

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
$4,265.80
Median
$7,762.47
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$9,120.11
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$309.03
Typical High
$524.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$794.33
Typical High
$1,905.46
Medcost
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$446.68
Typical High
$2,238.72

Where South 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.

South Carolina· 39th of 51

$355

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.