Adjustable Balloon Procedure for Urine Leakage

Delaware rates for HCPCS 53452

A procedure involving small adjustable balloons that sit alongside the urethra, the tube carrying urine out of the body, where they gently support it so urine does not leak. The balloons are reached through the skin between the legs rather than through open surgery, and each one connects to a small port under the skin so the amount of fluid inside can be changed later. It is used for ongoing loss of bladder control that has not responded to simpler measures.

Rates data updated October 2026.

How much does Adjustable Balloon Procedure for Urine Leakage cost?

$676

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $1,479 from a hospital or other facility.

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 3 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$417	$380 to $525
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$1,479	$1,000 to $4,898

How much rates vary

Facilitymedian $1,479 · 10th to 90th $708 to $12,023Professionalmedian $417 · 10th to 90th $380 to $661

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $380.19 Median $4,897.79 Typical High $7,244.36	Facility	None	$380.19	$4,897.79	$7,244.36
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $436.52	Professional	None	$380.19	$380.19	$436.52
Cigna Setting Facility Modifier None Typical Low $676.08 Median $8,511.38 Typical High $15,135.61	Facility	None	$676.08	$8,511.38	$15,135.61
Cigna Setting Professional Modifier None Typical Low $125.89 Median $380.19 Typical High $2,089.30	Professional	None	$125.89	$380.19	$2,089.30
United Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $2,570.40	Facility	None	$912.01	$1,258.93	$2,570.40
United Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $660.69	Professional	None	$323.59	$457.09	$660.69

Where Delaware sits

The same service costs 5.9 times more in Arkansas than in New York. 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.

Delaware· 32nd of 51

$676

AR $1,995NY $339

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.