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Urethra Rebuild For Hypospadias, Longer Segment

South Dakota 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 $2,291 · 10th–90th $977$4,3650%10%10th90th$2,291Professionalmedian $1,380 · 10th–90th $692$2,3440%10%10th90th$1,380$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$741.31
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,862.09
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,621.81
Typical High
$2,290.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$1,819.70