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Complex Reconstruction Of The Scrotum

Virginia rates for HCPCS 55180

Rebuilds the scrotum, the pouch of skin that holds the testicles, in the more involved version of this repair. It is used when a large area of skin has been lost or badly scarred and nearby tissue has to be moved across to cover the area. The aim is to restore a protective covering for the testicles.

Rates data updated July 2026.

How much does Complex Reconstruction Of The Scrotum cost?

$3,311

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,311 for this service. Most negotiated rates run $977 to $6,918.

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.

How much rates vary

Facilitymedian $3,467 · 10th to 90th $776 to $9,333Professionalmedian $813 · 10th to 90th $603 to $1,622
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,467professional $813

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. 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
Global
Typical Low
$794.33
Median
$3,630.78
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$1,862.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$1,621.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,445.44
Sentara
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63

Where Virginia sits

The same service costs 20.0 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $3,311 · 28th of 50
IN $13,804ND $692

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.