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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 October 2026.

How much does Unlisted Procedure On The Urinary System cost?

$1,175

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $1,047 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$3,890$1,479 to $5,623
FacilityA hospital or hospital-owned outpatient department$1,047$437 to $2,692

How much rates vary

Facilitymedian $1,047 · 10th to 90th $170 to $8,128Professionalmedian $3,890 · 10th to 90th $933 to $10,233
$100$200$500$1K$2K$5K$10Kfacility $1,047professional $3,890

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
$2,041.74
Median
$4,786.30
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$3,801.89
Typical High
$7,079.46
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$8,128.31
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$3,890.45
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$794.33
Typical High
$5,495.41
Sentara
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$933.25
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,479.11
Typical High
$11,481.54
United
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$660.69
Typical High
$2,041.74

Where Virginia 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.

Virginia· 14th of 51

$1,175

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.