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Urethral Reconstruction, Longer Segment

Massachusetts 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?

$1,698

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,445 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 9 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$1,445$1,047 to $2,239
FacilityA hospital or hospital-owned outpatient department$3,311$2,089 to $4,898

How much rates vary

Facilitymedian $3,311 · 10th to 90th $977 to $9,333Professionalmedian $1,445 · 10th to 90th $891 to $3,311
$500$1K$2K$5K$10K$20K$50Kfacility $3,311professional $1,445

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
$1,778.28
Median
$3,311.31
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$5,128.61
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$7,585.78
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,479.11
Typical High
$7,244.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,905.46
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,445.44
Typical High
$2,630.27
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,096.48
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$954.99
Typical High
$1,412.54
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,621.81
Typical High
$2,754.23
Health New England
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$4,466.84
Typical High
$4,570.88
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$7,585.78
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,479.11
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$3,630.78

Where Massachusetts sits

The same service costs 4.8 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 25th of 51

$1,698

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.