go back

Urethra Rebuild For Hypospadias, Longer Segment

Utah 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?

$1,175

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $5,623 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 7 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$1,122$851 to $1,549
FacilityA hospital or hospital-owned outpatient department$5,623$3,388 to $7,762

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,122 to $8,913Professionalmedian $1,122 · 10th to 90th $794 to $2,188
$50.0$200.0$1.0K$5.0Kfacility $5,623professional $1,122

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
$1,122.02
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,698.24
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$6,760.83
Typical High
$10,232.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$1,348.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,348.96
Typical High
$1,548.82
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,258.93
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,698.24

Where Utah 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.

Utah $1,175 · 38th 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.