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Urethra Rebuild For Hypospadias, Longer Segment

Connecticut rates for HCPCS 54312

A staged operation that rebuilds a longer length of the urethra, the tube that carries urine out of the body, in a boy born with the opening in the wrong place. Tissue already at the site is formed into the new channel; versions that bring in a skin graft from elsewhere on the body are a different operation. What sets this version apart is the length of urethra rebuilt.

Rates data updated July 2026.

How much does Urethra Rebuild For Hypospadias, Longer Segment cost?

$1,862

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $7,762 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 5 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$1,318$1,023 to $1,905
FacilityA hospital or hospital-owned outpatient department$7,762$5,248 to $9,333

How much rates vary

Facilitymedian $7,762 · 10th to 90th $4,677 to $11,749Professionalmedian $1,318 · 10th to 90th $794 to $2,188
$1K$2K$5K$10Kfacility $7,762professional $1,318

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
$4,570.88
Median
$7,079.46
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,318.26
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,302.69
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,659.59
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$2,344.23
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,709.64
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$2,137.96

Where Connecticut sits

The same service costs 7.8 times more in California than in West Virginia. 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.

Connecticut· 11th of 51

$1,862

CA $6,457WV $832

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.