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Urethral Reconstruction, Longer Segment

Michigan 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?

$1,259

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $4,898 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$1,230$1,000 to $1,380
FacilityA hospital or hospital-owned outpatient department$4,898$3,388 to $7,586

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,230 to $9,550Professionalmedian $1,230 · 10th to 90th $851 to $2,951
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,898professional $1,230

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
$1,230.27
Median
$4,897.79
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$2,951.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$831.76
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$3,090.30
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,148.15
Typical High
$1,698.24
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,456.54
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$1,621.81

Where Michigan 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.

Michigan $1,259 · 46th 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.