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Repair of a Traumatic Penile Injury

Illinois rates for HCPCS 54437

This surgery repairs a tear in the erectile tissue of the penis caused by trauma, most often a penile fracture injury. Prompt surgical repair helps restore normal structure and function and reduces the risk of long-term complications.

Rates data updated July 2026.

How much does Repair of a Traumatic Penile Injury cost?

$2,817

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $2,817 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $1,905 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$912$692 to $1,202
Facility feeThe hospital or surgery center$1,905$1,259 to $4,677

How much rates vary

Facilitymedian $1,905 · 10th to 90th $759 to $8,318Professionalmedian $912 · 10th to 90th $661 to $1,622
$200$500$1K$2K$5K$10Kfacility $1,905professional $912

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
$758.58
Median
$1,737.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,621.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$5,128.61
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$933.25
Typical High
$1,348.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$3,630.78
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
$812.83
Median
$851.14
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,388.44
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,479.11

Where Illinois sits

The same service costs 7.7 times more in Indiana 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.

Physician feeFacility fee

Illinois· 44th of 50

$2,817

$912 physician + $1,905 facility

IN $11,009WV $1,435

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.