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Repair of a Traumatic Penile Injury

North Dakota 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 October 2026.

How much does Repair of a Traumatic Penile Injury cost?

$2,802

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $2,802 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $1,514 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,288$1,096 to $1,479
Facility feeThe hospital or surgery center$1,514$676 to $2,344

How much rates vary

Facilitymedian $1,514 · 10th to 90th $676 to $2,570Professionalmedian $1,288 · 10th to 90th $708 to $1,660
$100$200$500$1K$2K$5Kfacility $1,514professional $1,288

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$676.08
Typical High
$758.58
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$1,659.59
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,318.26
Median
$1,698.24
Typical High
$1,995.26
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$758.58
Median
$977.24
Typical High
$1,148.15
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$109.65
Median
$141.25
Typical High
$165.96
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$812.83
Median
$1,047.13
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$2,238.72
Medica
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$1,584.89
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,230.27
Typical High
$1,479.11
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$2,344.23
Typical High
$2,630.27
United
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,230.27
Typical High
$1,445.44

Where North Dakota sits

The same service costs 4.2 times more in Oklahoma than in Kentucky. 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 Dakota· 33rd of 51

$2,802

$1,288 physician + $1,514 facility

OK $7,369KY $1,773

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.