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Creating a Vagina Without a Graft

Nebraska 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?

$1,230

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $8,511 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$977$631 to $1,288
FacilityA hospital or hospital-owned outpatient department$8,511$7,586 to $13,490

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,365 to $15,136Professionalmedian $977 · 10th to 90th $501 to $3,020
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $8,511professional $977

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
$7,079.46
Median
$8,511.38
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$977.24
Typical High
$3,019.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$13,182.57
Typical High
$25,703.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$831.76
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,230.27
Typical High
$8,317.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$5,623.41
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$1,513.56

Where Nebraska 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.

Nebraska $1,230 · 12th 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.