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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 October 2026.

How much does Artificial Urinary Sphincter Implant cost?

$10,818

Typical total for the visit. In Nebraska, October 2026.

Insurers have agreed to pay about $10,818 for this procedure. That total is two separate charges: $1,698 to the doctor who performs it, and $9,120 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,698$1,413 to $1,905
Facility feeThe hospital or surgery center$9,120$3,020 to $22,909

How much rates vary

Facilitymedian $9,120 · 10th to 90th $1,698 to $29,512Professionalmedian $1,698 · 10th to 90th $977 to $12,303
$1K$2K$5K$10K$20K$50K$100Kfacility $9,120professional $1,698

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$6,025.60
Typical High
$25,118.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$1,862.09
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$11,220.18
Typical High
$22,908.68
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$25,118.86
Median
$26,915.35
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$23,988.33
Typical High
$31,622.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,698.24
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$4,786.30
Typical High
$33,884.42
Medica
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,621.81
Typical High
$12,302.69
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$2,344.23
Midlands
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$25,703.96
Typical High
$33,113.11
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$4,786.30
Typical High
$23,988.33
United
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,621.81
Typical High
$2,137.96

Where Nebraska sits

The same service costs 16.2 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Nebraska· 21st of 51

$10,818

$1,698 physician + $9,120 facility

AK $30,633HI $1,888

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.