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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 October 2026.

How much does Creating a Vagina Without a Graft cost?

$1,230

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $3,548 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,148$832 to $1,445
FacilityA hospital or hospital-owned outpatient department$3,548$1,445 to $5,754

How much rates vary

Facilitymedian $3,548 · 10th to 90th $1,023 to $10,965Professionalmedian $1,148 · 10th to 90th $617 to $1,698
$1K$2K$5K$10K$20Kfacility $3,548professional $1,148

Distribution of negotiated rates across all payers (price axis is log-scale). 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
$5,370.32
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$3,715.35
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,258.93
Typical High
$1,584.89
Hally Health
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$851.14
Typical High
$3,890.45
Medica
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,659.59
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$1,202.26
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,513.56
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$3,715.35
Typical High
$4,466.84
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$1,698.24
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$3,630.78
Typical High
$13,182.57
United
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$912.01
Typical High
$1,737.80
Wellmark
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$1,148.15

Where Iowa sits

The same service costs 8.3 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.

Iowa· 8th of 51

$1,230

OK $2,951UT $355

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.