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California rates for HCPCS 54400

Insertion of penile prosthesis; non-inflatable (semi-rigid)

Facilitymedian $10,471 · 10th–90th $3,715–$20,8930%10%10th90th$10,471Professionalmedian $603 · 10th–90th $490–$1,2300%20%40%10th90th$603$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $7,413.10 / $18,197.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $11,481.54 / $19,498.45
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $6,918.31 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $16,218.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $602.56 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $602.56 / $1,258.93
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $45,708.82 / $72,443.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $741.31 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $17,378.01 / $38,904.51