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Unlisted Procedure On The Urinary System

Washington 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?

$603

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $708 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$50.12$48.98 to $50.12
FacilityA hospital or hospital-owned outpatient department$708$316 to $955

How much rates vary

Facilitymedian $708 · 10th to 90th $151 to $2,344Professionalmedian $50 · 10th to 90th $45 to $141
$50$200$1K$5K$20Kfacility $708professional $50

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
$2,137.96
Median
$6,456.54
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$1,412.54
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$794.33
Typical High
$1,412.54
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$776.25
Typical High
$2,137.96
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$50.12
Typical High
$50.12
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$724.44
Typical High
$1,380.38
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$346.74
Typical High
$1,023.29

Where Washington 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.

Washington· 27th of 51

$603

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.