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Creating a Vagina Without a Graft

Utah 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.

Facilitymedian $6,026 · 10th–90th $3,162$9,7720%10%20%10th90th$6,026Professionalmedian $646 · 10th–90th $501$1,2590%20%10th90th$646$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$4,570.88
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$3,981.07
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$9,772.37
Typical High
$14,791.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$3,890.45
Select Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$870.96
Typical High
$1,513.56
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$831.76
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$1,122.02