go back

Adjustable Balloon Implant For Urine Leakage

Wisconsin 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?

$309

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $562 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 5 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$275$219 to $309
FacilityA hospital or hospital-owned outpatient department$562$479 to $8,128

How much rates vary

Facilitymedian $562 · 10th to 90th $427 to $20,417Professionalmedian $275 · 10th to 90th $178 to $309
$100.0$500.0$2.0K$10.0Kfacility $562professional $275

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$20,417.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$17,782.79
Typical High
$20,892.96

Where Wisconsin 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.

Wisconsin $309 · 30th 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.