go back

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.

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

$1,318

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $2,138 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$1,000$813 to $1,549
FacilityA hospital or hospital-owned outpatient department$2,138$1,549 to $5,129

How much rates vary

Facilitymedian $2,138 · 10th to 90th $912 to $9,333Professionalmedian $1,000 · 10th to 90th $776 to $2,089
$200$500$1K$2K$5K$10K$20Kfacility $2,138professional $1,000

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
$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

Where Illinois 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.

Illinois· 26th of 51

$1,318

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.