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One-Stage Repair Of Distal Hypospadias

Idaho rates for HCPCS 54328

This service surgically corrects a birth condition in which the opening for urination is positioned abnormally on the underside of the penis, near the tip, sometimes along with curvature of the penis. In this version, the surgeon corrects the curvature and rebuilds the urinary channel in a single operation. It is performed in infancy or early childhood.

Rates data updated July 2026.

How much does One-Stage Repair Of Distal Hypospadias cost?

$1,549

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $4,571 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 8 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$1,380$1,230 to $1,862
FacilityA hospital or hospital-owned outpatient department$4,571$2,042 to $7,762

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,259 to $10,233Professionalmedian $1,380 · 10th to 90th $933 to $1,862
$1K$2K$5K$10K$20Kfacility $4,571professional $1,380

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
$2,884.03
Median
$4,466.84
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,495.41
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,819.70
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$1,778.28
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$2,137.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,584.89
Typical High
$1,862.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$8,511.38
Typical High
$11,481.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$1,778.28
Select Health
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$4,570.88
Typical High
$7,585.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$22,387.21
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,258.93
Typical High
$1,905.46

Where Idaho sits

The same service costs 6.5 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.

Idaho· 26th of 51

$1,549

CA $6,457DE $1,000

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.