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Closure Of A Bladder-To-Vagina Opening, Vaginal Approach

Washington, DC rates for HCPCS 57320

This surgery closes an abnormal opening, called a fistula, that has formed between the bladder and the vagina, which can cause continuous, uncontrollable leakage of urine into the vagina. The surgeon works through the vagina to locate the opening and stitch the tissue layers closed, separating the two organs again. It is typically performed after an injury from childbirth, prior surgery, or radiation treatment.

Rates data updated July 2026.

How much does Closure Of A Bladder-To-Vagina Opening, Vaginal Approach cost?

$603

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $603 for this service. Most negotiated rates run $479 to $4,074.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $479 to $7,762Professionalmedian $479 · 10th to 90th $479 to $1,148
$500$1K$2K$5K$10K$20Kfacility $4,074professional $479

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
$478.63
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$602.56
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$6,309.57
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$549.54
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$10,232.93
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$1,479.11

Where Washington, DC sits

The same service costs 10.0 times more in California 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, DC· 46th of 51

$603

CA $5,495HI $550

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.