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Artificial Urinary Sphincter Implant

North Carolina 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 $4,677 · 10th–90th $933$19,0550%10%10th90th$4,677$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$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
$1,202.26
Median
$5,128.61
Typical High
$19,054.61
Medcost
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$22,908.68
Typical High
$46,773.51
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$102,329.30
Typical High
$102,329.30
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93