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Adjustable Balloon Procedure for Urine Leakage

Maine 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 July 2026.

How much does Adjustable Balloon Procedure for Urine Leakage cost?

$525

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $525 for this service. Most negotiated rates run $457 to $603.

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 $19,498 · 10th to 90th $19,498 to $19,498Professionalmedian $525 · 10th to 90th $398 to $759
$500$1K$2K$5K$10Kfacility $19,498professional $525

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
Professional
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$537.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$977.24
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$912.01
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$1,000.00

Where Maine sits

The same service costs 16.6 times more in California than in North Dakota. 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.

Maine· 34th of 51

$525

CA $6,310ND $380

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.