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Replacing An Artificial Urinary Sphincter

Washington rates for HCPCS 53447

Takes out an implanted artificial urinary sphincter — the cuff around the urine channel, the fluid reservoir and the pump — and puts a complete new system in its place. It is done when the existing device has failed, leaked, eroded into tissue or become infected. The new device is normally left switched off for a period so the tissues can heal before it is activated.

Rates data updated July 2026.

Facilitymedian $2,089 · 10th–90th $977$57,5440%5%10%10th90th$2,089$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
$1,047.13
Median
$4,466.84
Typical High
$21,877.62
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$512.86
Median
$977.24
Typical High
$1,047.13
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$63,095.73
Typical High
$109,647.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$39,810.72
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,905.46
Typical High
$54,954.09
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$1,621.81
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,096.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$60,255.96
Typical High
$109,647.82
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$64,565.42
Typical High
$117,489.76