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Urethral Reconstruction, Longer Segment

Nebraska 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 October 2026.

How much does Urethral Reconstruction, Longer Segment cost?

$2,344

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $2,344 for this service. The price depends on where it is billed: about $2,138 from a physician practice, and about $3,388 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,138$1,738 to $2,455
FacilityA hospital or hospital-owned outpatient department$3,388$2,344 to $7,413

How much rates vary

Facilitymedian $3,388 · 10th to 90th $1,318 to $13,490Professionalmedian $2,138 · 10th to 90th $1,259 to $3,020
$1K$2K$5K$10K$20Kfacility $3,388professional $2,138

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,365.16
Median
$7,244.36
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$1,584.89
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$13,803.84
Typical High
$28,183.83
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,570.40
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$2,570.40
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,187.76
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$2,951.21
Typical High
$9,332.54
Medica
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$2,041.74
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$3,019.95
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$2,818.38
Typical High
$4,073.80
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,862.09
Typical High
$2,137.96
United
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$3,019.95
Typical High
$6,606.93
United
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$2,089.30
Typical High
$2,754.23
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where Nebraska sits

The same service costs 5.9 times more in Oklahoma than in Utah. 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.

Nebraska· 5th of 51

$2,344

OK $4,074UT $692

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.