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Urethral Reconstruction, Longer Segment

Illinois 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?

$1,585

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,138 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$977 to $1,820
FacilityA hospital or hospital-owned outpatient department$2,138$1,514 to $5,370

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,072 to $9,550Professionalmedian $1,175 · 10th to 90th $955 to $2,951
$100.0$1.0K$10.0Kfacility $2,138professional $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
$1,071.52
Median
$1,862.09
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$2,951.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,495.41
Typical High
$21,379.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,288.25
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,318.26
Typical High
$1,949.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$5,495.41
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,230.27
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,370.32
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$2,137.96

Where Illinois 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.

Illinois $1,585 · 29th 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.