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Urethra Rebuild For Hypospadias, Longer Segment

North Carolina 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?

$1,259

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,818 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$1,175$871 to $1,820
FacilityA hospital or hospital-owned outpatient department$2,818$1,259 to $6,457

How much rates vary

Facilitymedian $2,818 · 10th to 90th $794 to $8,710Professionalmedian $1,175 · 10th to 90th $794 to $2,754
$200.0$1.0K$5.0K$20.0Kfacility $2,818professional $1,175

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
$794.33
Median
$3,235.94
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$933.25
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,819.70
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$2,089.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$1,737.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$8,912.51
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,862.09
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47

Where North Carolina 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.

North Carolina $1,259 · 32nd 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.