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Urethral Reconstruction, Longer Segment

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $7,079 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 5 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$1,072$933 to $1,738
FacilityA hospital or hospital-owned outpatient department$7,079$5,888 to $9,772

How much rates vary

Facilitymedian $7,079 · 10th to 90th $3,467 to $11,749Professionalmedian $1,072 · 10th to 90th $851 to $5,888
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $7,079professional $1,072

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
$3,467.37
Median
$6,918.31
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,071.52
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,288.25
Typical High
$2,570.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,230.27
Typical High
$1,621.81
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$11,481.54
Typical High
$17,378.01
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$1,949.84

Where New Jersey 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.

New Jersey $1,445 · 38th 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.