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First Stage of Urethra Reconstruction

South Dakota rates for HCPCS 53400

The first of two planned operations to rebuild a urethra that is narrowed, has an abnormal pocket, or has an abnormal opening to the skin. The damaged segment is opened along its length and the edges are stitched to the skin, leaving a temporary opening through which urine passes while the tissue heals and softens. The tube is closed back into a channel at a second operation months later.

Rates data updated July 2026.

How much does First Stage of Urethra Reconstruction cost?

$1,349

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,349 for this service. Most negotiated rates run $1,122 to $1,549.

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 $2,138 · 10th to 90th $977 to $4,365Professionalmedian $1,349 · 10th to 90th $1,047 to $1,622
$1.0K$2.0K$5.0K$10.0Kfacility $2,138professional $1,349

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. 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
Global
Typical Low
$812.83
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$1,862.09
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$10,964.78

Where South Dakota sits

The same service costs 17.8 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $1,349 · 47th of 50
IN $13,490WV $759

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.