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Urethra Rebuild For Hypospadias, Longer Segment

Kentucky 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?

$1,230

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $3,388 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$891$794 to $1,096
FacilityA hospital or hospital-owned outpatient department$3,388$2,344 to $6,761

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,000 to $8,511Professionalmedian $891 · 10th to 90th $776 to $1,820
$50.0$200.0$1.0K$5.0Kfacility $3,388professional $891

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
$616.60
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$831.76
Typical High
$2,630.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$1,288.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$1,230.27
CareSource
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,412.54
Typical High
$5,754.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$4,677.35
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$1,548.82

Where Kentucky sits

The same service costs 7.8 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $1,230 · 34th of 51
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.