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Second Stage Hypospadias Repair

North Carolina rates for HCPCS 54308

Builds the missing section of the urinary channel in a boy born with hypospadias, where the opening sits on the underside of the penis rather than at the tip. This is the second stage of a planned two-part repair, using tissue prepared at the earlier operation, and includes arrangements to divert urine while the new channel heals. The aim is a straight penis with the opening at the tip and a normal stream.

Rates data updated July 2026.

How much does Second Stage Hypospadias Repair cost?

$977

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $1,380 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$912$776 to $1,413
FacilityA hospital or hospital-owned outpatient department$1,380$1,000 to $5,623

How much rates vary

Facilitymedian $1,380 · 10th to 90th $692 to $8,710Professionalmedian $912 · 10th to 90th $692 to $2,344
$200.0$1.0K$5.0K$20.0Kfacility $1,380professional $912

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
$691.83
Median
$1,659.59
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,513.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,964.78
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,659.59
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31

Where North Carolina sits

The same service costs 8.1 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $977 · 40th of 51
CA $6,310DE $776

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.