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Replacement Of Artificial Urinary Sphincter

North Carolina 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 July 2026.

How much does Replacement Of Artificial Urinary Sphincter cost?

$3,701

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $3,701 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $2,042 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$1,660$1,349 to $2,512
Facility feeThe hospital or surgery center$2,042$1,380 to $4,786

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,259 to $7,586Professionalmedian $1,660 · 10th to 90th $1,259 to $3,467
$1K$2K$5K$10Kfacility $2,042professional $1,660

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,090.30
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,445.44
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,819.70
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,995.26
Typical High
$3,235.94
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$2,570.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,344.23
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$2,951.21
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$7,943.28
Typical High
$7,943.28
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78

Where North Carolina sits

The same service costs 12.0 times more in Maine than in Maryland. 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

North Carolina· 43rd of 50

$3,701

$1,660 physician + $2,042 facility

ME $21,236MD $1,776

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.