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Urethral Reconstruction, Longer Segment

South 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?

$1,738

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $11,482 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$1,023 to $1,950
FacilityA hospital or hospital-owned outpatient department$11,482$6,310 to $15,136

How much rates vary

Facilitymedian $11,482 · 10th to 90th $1,660 to $21,878Professionalmedian $1,230 · 10th to 90th $955 to $8,318
$50$200$1K$5K$20Kfacility $11,482professional $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
$5,888.44
Median
$12,022.64
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$8,317.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$9,120.11
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,380.38
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$2,454.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,412.54
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$16,595.87
Typical High
$24,547.09
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,995.26

Where South 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.

South Carolina· 23rd of 51

$1,738

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.