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Open Removal of Enlarged Prostate Tissue

Delaware 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 October 2026.

How much does Open Removal of Enlarged Prostate Tissue cost?

$1,749

Typical total for the visit. In Delaware, October 2026.

Insurers have agreed to pay about $1,749 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $794 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 3 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$955$851 to $1,288
Facility feeThe hospital or surgery center$794$389 to $1,148

How much rates vary

Facilitymedian $794 · 10th to 90th $302 to $4,266Professionalmedian $955 · 10th to 90th $813 to $1,660
$100$200$500$1K$2K$5Kfacility $794professional $955

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
$851.14
Median
$851.14
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$794.33
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$446.68
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,698.24

Where Delaware sits

The same service costs 10.9 times more in Maine than in Maryland. 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.

Physician feeFacility fee

Delaware· 49th of 51

$1,749

$955 physician + $794 facility

ME $16,718MD $1,540

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.