go back

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 July 2026.

How much does Unlisted Procedure On The Urinary System cost?

$1,738

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $1,995 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 7 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$380$380 to $2,884
FacilityA hospital or hospital-owned outpatient department$1,995$813 to $6,607

How much rates vary

Facilitymedian $1,995 · 10th to 90th $525 to $15,136Professionalmedian $380 · 10th to 90th $50 to $2,884
$50$200$1K$5K$20Kfacility $1,995professional $380

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
$1,412.54
Median
$6,456.54
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,318.26
Typical High
$2,884.03
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,348.96
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$812.83
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$50.12
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,348.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$933.25
Typical High
$1,995.26

Where Washington 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.

Washington· 32nd of 50

$1,738

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.