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Urethral Reconstruction, Longer Segment

Colorado rates for HCPCS 54324

This is a surgical repair used when the opening where urine exits the penis is not in its usual position, a condition present from birth. It reconstructs the urinary channel in a case where the segment needing repair is longer, which typically calls for a more extensive rebuilding of the passage. It is completed in a single operation rather than as part of a multi-stage approach.

Rates data updated July 2026.

How much does Urethral Reconstruction, Longer Segment cost?

$3,890

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $6,918 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$1,259$1,096 to $2,570
FacilityA hospital or hospital-owned outpatient department$6,918$4,365 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,862 to $13,183Professionalmedian $1,259 · 10th to 90th $1,072 to $3,981
$100.0$500.0$2.0K$10.0Kfacility $6,918professional $1,259

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
$1,412.54
Median
$5,495.41
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$1,949.84
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,380.38
Typical High
$1,862.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$5,495.41
Select Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,621.81
Typical High
$1,819.70
Select Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$977.24
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$11,748.98
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$2,398.83

Where Colorado sits

The same service costs 4.8 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $3,890 · 3rd of 51
CA $5,012DE $1,047

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.