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Artificial Urinary Sphincter Implant

Nebraska 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 $7,943 · 10th–90th $2,042$27,5420%10%10th90th$7,943Professionalmedian $1,778 · 10th–90th $1,660$2,3440%20%40%10th90th$1,778$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$7,244.36
Typical High
$25,118.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,715.19
Typical High
$20,892.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,659.59
Typical High
$33,884.42
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,778.28
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$12,022.64
Typical High
$31,622.78