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Keyhole Bladder Neck Suspension for Leakage

California rates for HCPCS 51990

A keyhole operation through small abdominal incisions that lifts and supports the bladder neck and the urethra, anchoring the tissue alongside them with stitches to firm structures behind the pubic bone. Restoring that support stops urine escaping when abdominal pressure rises. It treats leaking on coughing, laughing, lifting, or exercise.

Rates data updated July 2026.

Facilitymedian $10,715 · 10th–90th $3,890$19,0550%10%10th90th$10,715Professionalmedian $832 · 10th–90th $575$1,3180%20%10th90th$832$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$9,332.54
Typical High
$22,908.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,220.18
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$9,549.93
Typical High
$19,498.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$13,182.57
Typical High
$14,791.08
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$1,023.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$16,982.44
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$13,803.84
Typical High
$28,840.32