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Artificial Urinary Sphincter Implant

California rates for HCPCS 53445

Implants an inflatable artificial sphincter to stop urine leakage. Three connected parts go in during the one operation: a cuff that wraps around the urine tube and squeezes it closed, a fluid reservoir, and a small pump the person presses when they want to urinate. It is used for incontinence that has not settled with other treatment.

Rates data updated July 2026.

Facilitymedian $10,233 · 10th–90th $2,884$19,9530%10%10th90th$10,233Professionalmedian $871 · 10th–90th $631$1,6980%20%10th90th$871$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$1,778.28
Median
$6,025.60
Typical High
$18,197.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,220.18
Typical High
$18,620.87
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$3,715.35
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$21,877.62
Typical High
$25,703.96
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,778.28
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
$19,498.45
Median
$19,498.45
Typical High
$102,329.30
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$19,498.45
Typical High
$42,657.95