Open Removal of Enlarged Prostate Tissue

Nationwide rates for HCPCS 55831

Open operation through a lower abdominal incision to remove the overgrown inner part of the prostate that is blocking the flow of urine. The outer shell of the gland is left behind, so this relieves obstruction rather than treating cancer. It is generally chosen when the gland is too large to clear through a scope passed along the urethra.

Rates data updated July 2026.

How much does Open Removal of Enlarged Prostate Tissue cost?

$7,425

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,425 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $6,166 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

17% physician fee83% facility fee

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 50 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$1,259	$933 to $1,820
Facility feeThe hospital or surgery center	The hospital or surgery center	$6,166	$2,399 to $10,715

How much rates vary

Facilitymedian $6,166 · 10th to 90th $1,148 to $15,136Professionalmedian $1,259 · 10th to 90th $794 to $2,692

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $1,000.00 Median $4,168.69 Typical High $12,022.64	Facility	Global	$1,000.00	$4,168.69	$12,022.64
BCBS Setting Facility Modifier Global Typical Low $3,630.78 Median $9,332.54 Typical High $17,782.79	Facility	Global	$3,630.78	$9,332.54	$17,782.79
Cigna Setting Facility Modifier Global Typical Low $1,348.96 Median $2,630.27 Typical High $8,317.64	Facility	Global	$1,348.96	$2,630.27	$8,317.64
United Setting Facility Modifier Global Typical Low $870.96 Median $3,090.30 Typical High $9,772.37	Facility	Global	$870.96	$3,090.30	$9,772.37

What it costs in each state

The same service costs 7.2 times more in California than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

CA $11,426MD $1,594

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.