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Penile Injection Test/Treatment

Maine rates for HCPCS 54235

A doctor injects a medication directly into the erectile tissue of the penis to evaluate or help treat erectile function. It is often used as part of an evaluation for erectile dysfunction or to administer treatment in an office setting.

Rates data updated July 2026.

How much does Penile Injection Test/Treatment cost?

$115

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $87.10 to $141.

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

Professionalmedian $115 · 10th to 90th $83 to $182
$100$200professional $115

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
Professional
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$208.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$194.98
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$194.98

Where Maine sits

The same service costs 3.2 times more in Alaska than in West Virginia. 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· 27th of 51

$115

AK $282WV $87.10

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.