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Creating a Vagina Without a Graft

Hawaii rates for HCPCS 57291

Surgery that creates a vaginal canal using the surrounding tissues, without taking a graft from elsewhere on the body. A space is opened between the bladder and rectum and lined with local tissue so the canal stays open as it heals.

Rates data updated July 2026.

How much does Creating a Vagina Without a Graft cost?

$3,715

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $3,715 for this service. Most negotiated rates run $1,549 to $8,128.

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.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,862 to $6,026Professionalmedian $3,715 · 10th to 90th $537 to $9,333
$50.0$200.0$1.0K$5.0Kfacility $6,026professional $3,715

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
$1,862.09
Median
$6,025.60
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$812.83
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$4,677.35
Typical High
$9,332.54

Where Hawaii sits

The same service costs 14.1 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $3,715 · 3rd of 51
CA $7,586WV $537

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.