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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.

How much does Urethral Reconstruction, Longer Segment cost?

$1,445

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $5,888 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$1,349$1,096 to $1,950
FacilityA hospital or hospital-owned outpatient department$5,888$1,445 to $8,318

How much rates vary

Facilitymedian $5,888 · 10th to 90th $955 to $12,023Professionalmedian $1,349 · 10th to 90th $955 to $3,090
$1K$2K$5K$10K$20Kfacility $5,888professional $1,349

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
$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

Where North Carolina 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.

North Carolina· 39th of 51

$1,445

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.