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Replacement Of Artificial Urinary Sphincter

West Virginia 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?

$2,551

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $2,551 for this procedure. That total is two separate charges: $1,349 to the doctor who performs it, and $1,202 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,349$1,230 to $1,445
Facility feeThe hospital or surgery center$1,202$1,202 to $1,349

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,202 to $1,622Professionalmedian $1,349 · 10th to 90th $1,202 to $1,820
$50$100$200$500$1K$2K$5Kfacility $1,202professional $1,349

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
$1,202.26
Median
$1,202.26
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,288.25
Typical High
$1,445.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,621.81
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,819.70
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,445.44
Typical High
$2,238.72

Where West Virginia 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

West Virginia· 49th of 50

$2,551

$1,349 physician + $1,202 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.