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Urethra Rebuild For Hypospadias, Longer Segment

Illinois 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.

Facilitymedian $2,138 · 10th–90th $912$9,3330%5%10th90th$2,138Professionalmedian $1,000 · 10th–90th $776$2,0890%20%10th90th$1,000$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,862.09
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$912.01
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,248.07
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,122.02
Typical High
$1,659.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,348.96
Typical High
$3,630.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,023.29
Typical High
$1,122.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,819.70