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Adjusting An Implanted Continence Balloon

California 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 July 2026.

How much does Adjusting An Implanted Continence Balloon cost?

$4,467

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $4,467 for this service. Most negotiated rates run $3,162 to $5,754.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $2,570 to $12,882Professionalmedian $229 · 10th to 90th $229 to $229
$200$500$1K$2K$5K$10K$20Kfacility $4,467professional $229

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
$2,570.40
Median
$4,466.84
Typical High
$12,882.50
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
$794.33
Median
$794.33
Typical High
$794.33
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09

Where California sits

The same service costs 2630.3 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.

California· 4th of 37

$4,467

KY $56,234NJ $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.