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Creating a Vagina Without a Graft

Pennsylvania 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?

$676

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $6,026 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 9 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$537$490 to $646
FacilityA hospital or hospital-owned outpatient department$6,026$3,162 to $7,762

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,148 to $8,710Professionalmedian $537 · 10th to 90th $457 to $1,096
$500$1K$2K$5K$10Kfacility $6,026professional $537

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
$1,148.15
Median
$6,165.95
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$1,412.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$1,047.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$831.76
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$1,047.13
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$5,370.32
Typical High
$9,549.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$3,019.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$676.08
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$3,162.28
Typical High
$5,248.07
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$549.54
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$1,096.48

Where Pennsylvania 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.

Pennsylvania· 44th of 51

$676

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.