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Creating a Vagina Without a Graft

Iowa 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?

$1,318

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $5,754 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$891$661 to $1,514
FacilityA hospital or hospital-owned outpatient department$5,754$4,677 to $7,943

How much rates vary

Facilitymedian $5,754 · 10th to 90th $1,000 to $12,589Professionalmedian $891 · 10th to 90th $501 to $3,388
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,754professional $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
$5,370.32
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$1,584.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$912.01
Typical High
$4,466.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$4,168.69
Typical High
$12,589.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,096.48
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,318.26
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,244.36
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,659.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,148.15

Where Iowa 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.

Iowa $1,318 · 11th 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.