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Creating a Vagina Without a Graft

North Carolina 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?

$724

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $1,905 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 6 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$646$550 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,905$813 to $8,710

How much rates vary

Facilitymedian $1,905 · 10th to 90th $550 to $11,482Professionalmedian $646 · 10th to 90th $550 to $1,585
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $1,905professional $646

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
$549.54
Median
$2,238.72
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$588.84
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$1,318.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,122.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$691.83
Typical High
$1,288.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$42,657.95
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,248.07
Typical High
$5,248.07

Where North Carolina 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.

North Carolina $724 · 40th 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.