go back

Adjusting an Implanted Urinary Balloon

Montana rates for HCPCS 53454

A follow-up adjustment of the small fluid-filled balloons that sit beside the urethra to control urinary leakage. Fluid is added or taken out through a needle passed through the skin, fine-tuning how much support the balloons give without reopening the original surgical site. The setting can be changed more than once as needs change.

Rates data updated October 2026.

How much does Adjusting an Implanted Urinary Balloon cost?

$64.57

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $93.33 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$40.74 to $79.43
FacilityA hospital or hospital-owned outpatient department$93.33$93.33 to $117

How much rates vary

Facilitymedian $93 · 10th to 90th $65 to $224Professionalmedian $65 · 10th to 90th $36 to $95
$50$100$200$500facility $93professional $65

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$47.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$223.87
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$109.65
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$93.33
Typical High
$97.72
Providence
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$223.87
Typical High
$630.96
Providence
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$79.43
Typical High
$85.11
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$38.02
Typical High
$54.95

Where Montana sits

The same service costs 9.1 times more in Tennessee than in Maine. 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.

Montana· 34th of 51

$64.57

TN $288ME $31.62

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.