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Repair of a Traumatic Penile Injury

North Carolina 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?

$3,462

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $3,462 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $2,570 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$676 to $1,318
Facility feeThe hospital or surgery center$2,570$977 to $5,248

How much rates vary

Facilitymedian $2,570 · 10th to 90th $661 to $7,586Professionalmedian $891 · 10th to 90th $661 to $1,820
$1K$2K$5K$10Kfacility $2,570professional $891

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
$660.69
Median
$2,570.40
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,737.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$1,122.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$1,584.89
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$9,772.37
Typical High
$9,772.37
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$5,623.41

Where North Carolina 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

North Carolina· 40th of 50

$3,462

$891 physician + $2,570 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.