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Urethral Reconstruction, Longer Segment

South Dakota 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?

$2,138

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $2,570 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$2,042$1,549 to $2,291
FacilityA hospital or hospital-owned outpatient department$2,570$1,349 to $2,818

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,148 to $3,311Professionalmedian $2,042 · 10th to 90th $1,000 to $2,692
$1K$2K$5Kfacility $2,570professional $2,042

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
$977.24
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$891.25
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$2,041.74
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$2,754.23
Medica
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,819.70
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$2,570.40
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$2,089.30
Typical High
$2,570.40
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$1,862.09
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$2,398.83
Typical High
$2,691.53
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,137.96
Typical High
$2,137.96

Where South Dakota 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.

South Dakota· 8th of 51

$2,138

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.