search again

Adjusting An Implanted Continence Balloon

Nationwide rates for HCPCS 0551T

Adds fluid to or takes fluid out of a balloon that is already implanted beside the urinary passage, changing how much support it provides. It is a short outpatient adjustment used to fine-tune bladder control after the balloon has settled into place.

Rates data updated October 2026.

How much does Adjusting An Implanted Continence Balloon cost?

$372

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $2,138 from a hospital or other facility.

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 16 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$229$224 to $229
FacilityA hospital or hospital-owned outpatient department$2,138$776 to $3,802

How much rates vary

Facilitymedian $2,138 · 10th to 90th $398 to $5,248Professionalmedian $229 · 10th to 90th $21 to $229
$20$100$500$2K$10Kfacility $2,138professional $229

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$323.59
Typical High
$346.74
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$2,691.53
Typical High
$5,495.41
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$263.03
Typical High
$363.08
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
AvMed
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$2,137.96
Typical High
$2,818.38
CareSource
Setting
Facility
Modifier
None
Typical Low
$70,794.58
Median
$70,794.58
Typical High
$70,794.58
CareSource
Setting
Professional
Modifier
None
Typical Low
$74,131.02
Median
$74,131.02
Typical High
$74,131.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$21.38
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$407.38
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$323.59
Typical High
$346.74
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Medica
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$794.33
Typical High
$794.33
Medica
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Midlands
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$218.78
Typical High
$269.15
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$199.53
Typical High
$269.15
United
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33

What it costs in each state

The same service costs 3311.3 times more in Kentucky than in New Jersey. 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.

Touch or drag across the chart to see any state's rate.

KY $70,795NJ $21.38

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.