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One-Stage Hypospadias Repair With Skin Flaps

Maine rates for HCPCS 54326

Surgery in a boy whose urine channel opens on the underside of the penis instead of at the tip. In a single operation the surgeon builds the missing part of the channel using flaps of nearby skin and frees the existing channel so it can be brought into a better position.

Rates data updated July 2026.

How much does One-Stage Hypospadias Repair With Skin Flaps cost?

$1,259

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,259 for this service. Most negotiated rates run $1,047 to $1,622.

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.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $7,244 to $7,244Professionalmedian $1,259 · 10th to 90th $933 to $1,820
$1K$2K$5Kfacility $7,244professional $1,259

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,621.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$2,089.30
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$2,137.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$954.99
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,398.83

Where Maine sits

The same service costs 5.5 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.

Maine· 41st of 51

$1,259

CA $5,623DE $1,023

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.