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Adjustable Balloon Procedure for Urine Leakage

Virginia 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?

$501

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $4,365 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$447$407 to $603
FacilityA hospital or hospital-owned outpatient department$4,365$550 to $7,413

How much rates vary

Facilitymedian $4,365 · 10th to 90th $407 to $9,333Professionalmedian $447 · 10th to 90th $347 to $5,129
$0.1$1$10$100$1K$10Kfacility $4,365professional $447

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
$446.68
Median
$5,128.61
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$389.05
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$7,413.10
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$616.60
Medcost
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$758.58
Sentara
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$6,918.31
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$812.83

Where Virginia 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.

Virginia· 36th of 51

$501

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.