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Keyhole Bladder Neck Suspension for Leakage

Iowa 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 October 2026.

How much does Keyhole Bladder Neck Suspension for Leakage cost?

$6,833

Typical total for the visit. In Iowa, October 2026.

Insurers have agreed to pay about $6,833 for this procedure. That total is two separate charges: $1,585 to the doctor who performs it, and $5,248 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,585$1,148 to $1,905
Facility feeThe hospital or surgery center$5,248$1,995 to $9,333

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,148 to $13,804Professionalmedian $1,585 · 10th to 90th $871 to $2,399
$1K$2K$5K$10Kfacility $5,248professional $1,585

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$5,370.32
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$5,754.40
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$2,137.96
Hally Health
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,174.90
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$2,511.89
Typical High
$13,489.63
Medica
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,737.80
Typical High
$5,495.41
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$2,041.74
Midlands
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$5,754.40
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,995.26
Typical High
$2,290.87
United
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$6,309.57
Typical High
$15,848.93
United
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,288.25
Typical High
$2,398.83
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,584.89

Where Iowa sits

The same service costs 5.3 times more in Wisconsin than in Montana. 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.

Physician feeFacility fee

Iowa· 10th of 51

$6,833

$1,585 physician + $5,248 facility

WI $12,117MT $2,270

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.