go back

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 July 2026.

How much does Urethral Reconstruction, Longer Segment cost?

$1,585

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $977 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 7 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$1,660$1,000 to $2,239
FacilityA hospital or hospital-owned outpatient department$977$81.28 to $2,692

How much rates vary

Facilitymedian $977 · 10th to 90th $81 to $4,365Professionalmedian $1,660 · 10th to 90th $813 to $2,754
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $977professional $1,660

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
$81.28
Median
$81.28
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$870.96
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,238.72
Typical High
$2,754.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,778.28
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,737.80
Typical High
$7,244.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,659.59
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,905.46
Typical High
$2,691.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,041.74
Typical High
$2,137.96

Where South Dakota 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.

South Dakota $1,585 · 28th 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.