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Irrigation Procedure for Prolonged Erection

North Carolina rates for HCPCS 54220

This procedure treats a prolonged, painful erection by irrigating and draining blood from the erectile tissue of the penis to relieve pressure and restore normal blood flow. It is an urgent treatment used when a prolonged erection does not resolve on its own.

Rates data updated July 2026.

How much does Irrigation Procedure for Prolonged Erection cost?

$611

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $611 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $372 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$240$182 to $398
Facility feeThe hospital or surgery center$372$214 to $562

How much rates vary

Facilitymedian $372 · 10th to 90th $135 to $1,380Professionalmedian $240 · 10th to 90th $129 to $550
$200$500$1K$2K$5Kfacility $372professional $240

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
$134.90
Median
$389.05
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$457.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$398.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$398.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,862.09

Where North Carolina sits

The same service costs 13.9 times more in Hawaii 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

North Carolina· 44th of 50

$611

$240 physician + $372 facility

HI $5,396MD $389

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.