go back

Urethra Rebuild For Hypospadias, Longer Segment

Montana 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 $1,413 · 10th–90th $1,288$10,0000%50%10th90th$1,413Professionalmedian $1,413 · 10th–90th $851$4,3650%20%40%10th90th$1,413$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$794.33
Median
$851.14
Typical High
$4,365.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,380.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$1,698.24
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$1,621.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$977.24
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$2,041.74