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Urethra Rebuild For Hypospadias, Longer Segment

Maine 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?

$1,096

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,096 for this service. Most negotiated rates run $912 to $1,380.

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.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $7,244 to $7,244Professionalmedian $1,096 · 10th to 90th $813 to $1,549
$1K$2K$5Kfacility $7,244professional $1,096

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$812.83
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$1,819.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$1,862.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$2,089.30

Where Maine 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.

Maine· 41st of 51

$1,096

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.