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Urethral Reconstruction, Longer Segment

Kentucky 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?

$1,514

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $3,311 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$1,072$955 to $1,288
FacilityA hospital or hospital-owned outpatient department$3,311$1,995 to $6,761

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,202 to $8,511Professionalmedian $1,072 · 10th to 90th $912 to $2,042
$50.0$200.0$1.0K$5.0Kfacility $3,311professional $1,072

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
$616.60
Median
$1,412.54
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,000.00
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,513.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$1,445.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,659.59
Typical High
$6,606.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$6,025.60
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$1,819.70

Where Kentucky 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.

Kentucky $1,514 · 37th 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.