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Urethra Rebuild For Hypospadias, Longer Segment

South 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?

$1,072

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $9,772 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$1,047$851 to $1,175
FacilityA hospital or hospital-owned outpatient department$9,772$2,754 to $14,791

How much rates vary

Facilitymedian $9,772 · 10th to 90th $1,047 to $21,878Professionalmedian $1,047 · 10th to 90th $794 to $2,291
$50$200$1K$5K$20Kfacility $9,772professional $1,047

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
$1,047.13
Median
$11,748.98
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$4,466.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$9,120.11
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$2,089.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$12,589.25
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,698.24

Where South Carolina 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.

South Carolina· 43rd of 51

$1,072

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.