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Unlisted Procedure On The Urinary System

Virginia 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?

$3,631

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $3,631 for this service. The price depends on where it is billed: about $3,236 from a physician practice, and about $3,631 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 6 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$3,236$1,660 to $5,495
FacilityA hospital or hospital-owned outpatient department$3,631$1,950 to $7,079

How much rates vary

Facilitymedian $3,631 · 10th to 90th $813 to $11,220Professionalmedian $3,236 · 10th to 90th $933 to $8,318
$200$500$1K$2K$5K$10Kfacility $3,631professional $3,236

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
$1,230.27
Median
$4,265.80
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$3,235.94
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$9,332.54
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$4,073.80
Typical High
$5,623.41
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,584.89
Typical High
$1,584.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71

Where Virginia 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.

Virginia· 9th of 50

$3,631

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.