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Open Removal of Enlarged Prostate Tissue

Vermont 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?

$1,349

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,349 for this service. Most negotiated rates run $1,202 to $1,514.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $776 · 10th to 90th $468 to $776Professionalmedian $1,380 · 10th to 90th $933 to $2,089
$500$1K$2Kfacility $776professional $1,380

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
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$1,412.54
Typical High
$1,584.89
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,187.76

Where Vermont sits

The same service costs 5.9 times more in Alaska than in Texas. 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.

Vermont· 14th of 51

$1,349

AK $3,467TX $589

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.