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Simple Repair Of A Prior Hypospadias Surgery Complication

North Carolina rates for HCPCS 54340

This procedure repairs a complication, such as an abnormal opening or narrowing, that developed after an earlier surgery to correct hypospadias, a condition present at birth affecting the location of the urinary opening. This version addresses the problem using a relatively straightforward surgical technique. It is typically performed when the complication is limited in size and does not require extensive tissue reconstruction.

Rates data updated July 2026.

How much does Simple Repair Of A Prior Hypospadias Surgery Complication cost?

$871

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,660 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$813$617 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,660$871 to $6,761

How much rates vary

Facilitymedian $1,660 · 10th to 90th $562 to $8,710Professionalmedian $813 · 10th to 90th $562 to $1,820
$1K$2K$5K$10Kfacility $1,660professional $813

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
$562.34
Median
$2,137.96
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,202.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,445.44
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
$537.03
Median
$676.08
Typical High
$1,318.26
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
$5,128.61
Median
$5,128.61
Typical High
$5,128.61

Where North Carolina sits

The same service costs 10.7 times more in California than in West Virginia. 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· 33rd of 51

$871

CA $6,310WV $589

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.