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Repair Of Hypospadias Complication

Illinois rates for HCPCS 54344

This service repairs a complication that developed after an earlier surgery to correct a urinary-opening abnormality of the penis, such as a leak, opening, or narrowing along the reconstructed urinary channel. Fixing it requires moving nearby skin tissue into place, rather than simply closing the area. It is performed as a follow-up procedure when a prior repair has not fully healed as intended.

Rates data updated July 2026.

How much does Repair Of Hypospadias Complication cost?

$1,549

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $2,138 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$1,259$955 to $1,905
FacilityA hospital or hospital-owned outpatient department$2,138$1,479 to $5,623

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,047 to $10,000Professionalmedian $1,259 · 10th to 90th $912 to $2,754
$100.0$1.0K$10.0Kfacility $2,138professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,862.09
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,071.52
Typical High
$2,238.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$13,803.84
Typical High
$20,892.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,621.81
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,288.25
Typical High
$1,949.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,548.82
Typical High
$5,754.40
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,202.26
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,025.60
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$2,089.30

Where Illinois sits

The same service costs 6.5 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $1,549 · 26th of 51
CA $6,918WV $1,072

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.