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Artificial Urinary Sphincter Implant

Kentucky 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 $912$3,8900%5%10%10th90th$1,995$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$416.87
Median
$1,023.29
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,230.27
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$11,481.54
Typical High
$22,387.21