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Replacement Of Artificial Urinary Sphincter

South Dakota 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?

$4,280

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $4,280 for this procedure. That total is two separate charges: $2,239 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,239$1,380 to $2,884
Facility feeThe hospital or surgery center$2,042$1,660 to $3,388

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,549 to $4,365Professionalmedian $2,239 · 10th to 90th $1,072 to $3,631
$1K$2Kfacility $2,042professional $2,239

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. 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
Global
Typical Low
$1,288.25
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,884.03
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,819.70
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,290.87
Typical High
$10,471.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,754.23
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,187.76
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$3,548.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,691.53
Typical High
$2,818.38

Where South Dakota 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

South Dakota· 33rd of 50

$4,280

$2,239 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.