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Adjustable Balloon Implant For Urine Leakage

California rates for HCPCS 0549T

Places a small adjustable balloon alongside the urinary outlet through a puncture in the skin between the legs, with a scope and imaging used to position it correctly. The balloon gives gentle support to the passage so urine does not escape during coughing, lifting, or exertion.

Rates data updated July 2026.

How much does Adjustable Balloon Implant For Urine Leakage cost?

$7,943

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $7,943 for this service. Most negotiated rates run $5,495 to $10,965.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,943 · 10th to 90th $4,786 to $15,849Professionalmedian $1,479 · 10th to 90th $186 to $1,479
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $7,943professional $1,479

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,943.28
Typical High
$15,848.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$223.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$20,417.38
Typical High
$20,417.38
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11

Where California sits

The same service costs 1862.1 times more in Kentucky than in Idaho. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $7,943 · 4th of 39
KY $56,234ID $30.20

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.