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Complex Reconstruction Of The Scrotum

Vermont 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 October 2026.

How much does Complex Reconstruction Of The Scrotum cost?

$1,047

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,047 for this service. Most negotiated rates run $871 to $1,175.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $407 to $6,026Professionalmedian $1,000 · 10th to 90th $692 to $1,549
$200$500$1K$2K$5Kfacility $1,698professional $1,000

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
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,698.24

Where Vermont sits

The same service costs 6.3 times more in Oklahoma than in Utah. 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.

Vermont· 23rd of 51

$1,047

OK $3,090UT $490

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.