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Urethral Reconstruction, Longer Segment

North Carolina 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.

Facilitymedian $5,888 · 10th–90th $955$12,0230%20%10th90th$5,888Professionalmedian $1,349 · 10th–90th $955$3,0900%10%10th90th$1,349$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$6,760.83
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,412.54
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$2,454.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$2,041.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,964.78
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$2,238.72
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$8,128.31