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One-Stage Hypospadias Repair With Skin Flaps

North Carolina 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?

$1,514

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $3,548 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$1,349$1,023 to $1,950
FacilityA hospital or hospital-owned outpatient department$3,548$1,380 to $7,943

How much rates vary

Facilitymedian $3,548 · 10th to 90th $933 to $8,710Professionalmedian $1,349 · 10th to 90th $912 to $2,630
$1K$2K$5K$10Kfacility $3,548professional $1,349

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
$1,000.00
Median
$6,760.83
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,949.84
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$2,398.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$1,995.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$8,912.51
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$2,187.76
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64

Where North Carolina 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.

North Carolina· 28th of 51

$1,514

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.