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Repair Of Hypospadias Complication

North Carolina 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?

$1,380

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $1,514 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 7 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$1,318$1,072 to $1,862
FacilityA hospital or hospital-owned outpatient department$1,514$1,148 to $5,623

How much rates vary

Facilitymedian $1,514 · 10th to 90th $912 to $8,710Professionalmedian $1,318 · 10th to 90th $912 to $2,951
$200.0$1.0K$5.0K$20.0Kfacility $1,514professional $1,318

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
$912.01
Median
$1,513.56
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$3,162.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
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
$1,548.82
Median
$1,548.82
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$9,332.54
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$2,290.87
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$7,762.47

Where North Carolina 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.

North Carolina $1,380 · 36th 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.