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Artificial Urinary Sphincter Implant

Illinois 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 $1,995 · 10th–90th $759$16,9820%5%10th90th$1,995Professionalmedian $1,259 · 10th–90th $776$4,5710%10%10th90th$1,259$100.0$500.0$2.0K$10.0K$50.0K

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
$758.58
Median
$1,621.81
Typical High
$9,549.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$26,915.35
Typical High
$35,481.34
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,258.93
Typical High
$4,570.88
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$16,982.44
Typical High
$42,657.95