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Creating a Vagina Without a Graft

Massachusetts 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?

$832

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $3,388 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 8 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$759$550 to $1,175
FacilityA hospital or hospital-owned outpatient department$3,388$2,570 to $4,898

How much rates vary

Facilitymedian $3,388 · 10th to 90th $537 to $6,918Professionalmedian $759 · 10th to 90th $501 to $1,622
$500$1K$2K$5K$10Kfacility $3,388professional $759

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
$2,570.40
Median
$3,630.78
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,621.81
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,897.79
Typical High
$12,882.50
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,698.24
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$831.76
Typical High
$1,513.56
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$630.96
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$537.03
Typical High
$794.33
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$891.25
Typical High
$1,548.82
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,897.79
Typical High
$12,882.50
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$11,481.54
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,000.00
Typical High
$2,187.76

Where Massachusetts sits

The same service costs 14.1 times more in California than in West Virginia. 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.

Massachusetts· 33rd of 51

$832

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.