Peyronie’s Surgery Cost: Plication, Grafting and Implant

The Three Surgical Routes and What Guidelines Say

Peyronie’s disease is an acquired fibrotic disorder of the tunica albuginea that can cause curvature, shortening, pain and erectile dysfunction (ED). Three operations correct the deformity, and the choice among them depends on erectile function, penile length and the severity and type of curvature. Cost follows the technique, so it helps to know what each one involves.

• Tunical plication shortens the longer side of the tunica albuginea with sutures. The AUA guideline (Statement 18, Moderate Recommendation, Evidence Grade C) says clinicians may offer plication to men whose rigidity is adequate for intercourse, with or without medication or a vacuum device. Because plication does not treat ED, the best candidates have intact erections. See penile plication.
• Plaque incision or excision with grafting lengthens the shorter side by cutting or removing plaque and covering the defect with a graft. The AUA guideline (Statement 19, Moderate Recommendation, Evidence Grade C) lists it for men with deformity and adequate rigidity. The EAU 2026 chapter gives grafting a weak recommendation for normal erectile function with inadequate length, severe curvature or complex deformity, and recommends against the sliding technique. See Peyronie’s disease reconstruction and dermal matrix graft.
• Penile prosthesis treats ED and deformity together. The AUA guideline (Statement 20, Moderate Recommendation, Evidence Grade C) says clinicians may offer it to men with Peyronie’s disease and ED, or with deformity severe enough to prevent intercourse despite medication or vacuum therapy. The EAU gives a strong recommendation to use a prosthesis, with or without straightening procedures, when ED does not respond to medication. See inflatable penile prosthesis.

If curvature remains after the device is placed, the AUA guideline (Statement 21, Moderate Recommendation, Evidence Grade C) allows adjunctive intraoperative procedures such as modeling, plication or incision with grafting. Statement 22 (Expert Opinion) says clinicians should use an inflatable prosthesis for men undergoing prosthetic surgery, noting that modeling is difficult with semi-rigid devices. That is one reason the implant band below is the inflatable band.

Price Bands and What Drives Them

No published national cash-price data exist for Peyronie’s surgery; these are editorial estimates, kept consistent with the bands on this site’s procedure pages. Whether an adjunctive maneuver at implant surgery is priced separately varies and should be asked about in writing.

Two points deserve emphasis. First, the bands overlap, so price alone does not identify the technique being quoted. Second, an implant combined with straightening is priced as an implant case with added work, so total cost depends on whether the surgeon bills the additional maneuver. For the implant component of the bill, including the surgeon, facility, device and anesthesia split, see penile implant cost. For help choosing among the three routes on clinical grounds, see the plication, grafting and implant comparison.

The Medicare Anchor, From the CMS Lookup

Medicare does not publish a price for Peyronie’s surgery as such. It publishes prices by CPT code. The Medicare.gov Procedure Price Lookup describes CPT 54110 as excision of penile plaque (Peyronie disease), 54111 and 54112 as the same excision with a graft of up to 5 cm or more than 5 cm in length, and 54360 as a plastic operation on the penis to correct angulation. A plication may be reported under a penile angulation code such as 54360; the billing office determines the code, so confirm it. The table shows the lookup’s national averages (Medicare’s 2026 payments and copayments).

Source: Medicare.gov Procedure Price Lookup for Outpatient Services. For hospital outpatient care the lookup states that Original Medicare caps copayments at $1,676, a notice the lookup displays for the highest-cost code in this table (54112). Doctor fees agree with the CMS 2026 Physician Fee Schedule, and each code has a 90-day global period.

These Medicare amounts are far below the cash-pay bands above. That gap is expected and is not a sign that a private quote is inflated: Medicare sets its own payment rates, while private surgeons and facilities set cash prices and negotiate commercial rates independently. Use the Medicare table only to see how the cost rises with graft length and with hospital rather than surgery-center setting. For an implant, use the 54405 figures on the penile implant cost page.

Coverage Logic for a Functional Condition

Peyronie’s disease is a recognized diagnosis. ICD-10-CM codes it as N48.6, induration penis plastica. When a man also has ED, the N52 family of codes applies as well. Insurers evaluate surgery as treatment of a functional problem, not a cosmetic one, so the documentation is the central cost lever.

• The functional threshold comes from the guidelines. The EAU recommends surgery only when the disease is stable and the deformity prevents satisfactory intercourse (strong recommendation). Curvature that is visible but does not interfere with sexual function is, by that standard, not a surgical indication, and a payer is likely to apply the same test.
• Prior authorization and prior therapy. One regional commercial plan’s published policy on surgical treatment of Peyronie’s disease requires prior authorization and lists failure of conservative treatment, such as injections, traction or oral medication, among criteria that must all be met. Other plans differ; ask your plan for its written criteria.
• The implant pathway follows ED coverage rules. Medicare’s National Coverage Determination 230.4 says Medicare may pay for diagnosis and treatment of impotence, including penile prosthesis surgery. Cigna’s Medical Coverage Policy 0403 requires ED of at least six months, a complete evaluation and failure of, contraindication to or intolerance of conservative therapy before it considers a prosthesis medically necessary. See penile implant cost for the approval data.
• Medicare payability. The CMS Fee Schedule prices CPT 54110, 54111, 54112 and 54360, so the codes are payable procedures. Whether a particular claim is covered still depends on documented medical necessity.

Because a diagnosis of Peyronie’s disease alone does not establish a covered surgery, request a written determination before scheduling. A pre-authorization approval, not an assumption, is the document to hold.

The Stable-Disease Rule and When Surgery Is Priced

Peyronie’s disease has an active phase, in which pain may be present and curvature can still change, followed by a stable phase. The AUA guideline defines stable disease as symptoms that have been clinically unchanged for at least three months, and Statement 17 (a Clinical Principle) says clinicians should assess men as surgical candidates based on the presence of stable disease. The guideline panel notes that lesions typically stabilize 12 to 18 months after symptom onset. In the surgical literature the most common criteria are symptoms for at least 12 months and stable curvature for 3 to 6 months, and the outcomes of surgery during active disease are unknown. The EAU 2026 chapter gives a similar window, roughly three to six months without change or more than 9 to 12 months after onset.

This rule has practical consequences for cost:

• A quote given during the active phase is provisional. The EAU recommends assessing penile length, curvature, erectile function (including response to PDE5 inhibitors when ED is present) and patient expectations before surgery. Because curvature and function can change while disease is active, the right operation, and therefore the right price band, is not settled until the disease has stabilized.
• Documentation takes time. A payer that requires prior authorization will want evidence of stability and of prior therapy. Allow for an interval between the first consultation and the surgery date so the file is complete when it is submitted.
• Avoid committing money early. A deposit paid to “lock in” a price before stability is confirmed commits you to a procedure that may later prove to be the wrong one. This point is editorial guidance, not a guideline statement.

Questions to Ask Your Surgeon

• How is stability defined in your practice, and how will it be documented?
• Which of the three operations do you recommend for my curvature, length and erectile function, and why not the others?
• What CPT and ICD-10 codes will you submit, and will you request prior authorization before I pay a deposit?
• If I need an implant, will straightening maneuvers be billed separately?
• Which graft will you use, and is its cost included in the quote?
• What is included in the surgeon’s fee, for how long, and what happens if a second procedure is needed?
• How many Peyronie’s procedures do you perform each year? See how to choose a penile implant surgeon and our credential standard.

Sources

1. Nehra A, Alterowitz R, Culkin DJ, et al. Peyronie’s disease: AUA guideline. J Urol. 2015;194(3):745–753. DOI 10.1016/j.juro.2015.05.098. Statements 17–22 and the active versus stable disease section. PMC5027990
2. American Urological Association. Peyronie’s Disease guideline (2015). auanet.org
3. European Association of Urology. Guidelines on Sexual and Reproductive Health (2026 edition): Penile Curvature. uroweb.org
4. Centers for Medicare & Medicaid Services. Procedure Price Lookup for Outpatient Services, CPT 54360, 54110, 54111 and 54112. Medicare.gov; national averages based on Medicare’s 2026 payments and copayments. 54360 · 54110 · 54111 · 54112
5. Centers for Medicare & Medicaid Services. Medicare Physician Fee Schedule, 2026 indicators dataset (relative value units, global period). pfs.data.cms.gov
6. Centers for Medicare & Medicaid Services. National Coverage Determination 230.4, Diagnosis and Treatment of Impotence. cms.gov/medicare-coverage-database
7. Cigna. Medical Coverage Policy 0403, Male Sexual Dysfunction Treatment: Non-pharmacologic. Effective July 15, 2026. cigna.com coverage policy 0403 (PDF)
8. PacificSource Health Plans. Clinical policy on surgical treatment of Peyronie’s disease (prior authorization and conservative-treatment criteria; only the first page of the document could be read). pacificsource.com
9. National Library of Medicine. Clinical Table Search Service, ICD-10-CM (N48.6, induration penis plastica; category N52). clinicaltables.nlm.nih.gov

Cost figures are ranges and editorial estimates unless a source above states otherwise. This article is educational and is not medical advice.