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Replacement Of Artificial Urinary Sphincter

Hawaii rates for HCPCS 53448

Surgery to remove a failed or infected artificial urinary sphincter and put a new one in during the same operation. The device has a cuff around the urine tube, a control pump and a fluid reservoir, and it keeps the urine tube closed until the patient presses the pump.

Rates data updated October 2026.

How much does Replacement Of Artificial Urinary Sphincter cost?

$1,549

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $1,549 for this service. Most negotiated rates run $1,122 to $1,698.

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.

How much rates vary

Facilitymedian $1,047 · 10th to 90th $794 to $2,818Professionalmedian $1,549 · 10th to 90th $30 to $2,042
$50$100$200$500$1K$2Kfacility $1,047professional $1,549

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,348.96
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$2,344.23
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$912.01
Median
$1,000.00
Typical High
$1,174.90
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$309.03
Median
$338.84
Typical High
$398.11
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,380.38
Typical High
$1,698.24
United
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,148.15
United
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,862.09
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$1,122.02
Typical High
$1,659.59

Where Hawaii sits

The same service costs 5.9 times more in Alaska than in Texas. 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.

Hawaii· 29th of 51

$1,549

AK $5,129TX $871

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.