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Urethral Reconstruction, Longer Segment

Indiana 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?

$1,738

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $10,233 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 5 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$955 to $1,259
FacilityA hospital or hospital-owned outpatient department$10,233$6,457 to $15,136

How much rates vary

Facilitymedian $10,233 · 10th to 90th $1,738 to $17,783Professionalmedian $1,122 · 10th to 90th $933 to $1,698
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $10,233professional $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
$1,148.15
Median
$6,760.83
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$11,481.54
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$1,905.46
CareSource
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$977.24
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,548.82
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,148.15
Typical High
$1,819.70

Where Indiana 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.

Indiana $1,738 · 24th 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.