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Self-Contained Inflatable Penile Implant

New York rates for HCPCS 54401

Places an implant inside the penis to treat erectile dysfunction, using a design that inflates and deflates but keeps all of its parts in the one unit within the penis itself. Squeezing or bending the device stiffens or relaxes it. Because nothing extra is placed in the abdomen or scrotum, the operation is simpler than a multi-part system.

Rates data updated July 2026.

How much does Self-Contained Inflatable Penile Implant cost?

$7,420

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $7,420 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $6,607 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$813$661 to $1,148
Facility feeThe hospital or surgery center$6,607$3,388 to $11,482

How much rates vary

Facilitymedian $6,607 · 10th to 90th $1,023 to $19,498Professionalmedian $813 · 10th to 90th $562 to $1,950
$500$1K$2K$5K$10K$20Kfacility $6,607professional $813

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
$851.14
Median
$4,265.80
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$2,398.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$11,481.54
Typical High
$26,302.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,698.24
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,995.26
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,230.27
Typical High
$3,162.28
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$2,344.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,258.93
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$1,659.59
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$933.25
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$7,244.36
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$2,137.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$891.25
Typical High
$2,187.76
Univera
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$1,995.26

Where New York sits

The same service costs 31.1 times more in Maine 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.

Physician feeFacility fee

New York· 19th of 50

$7,420

$813 physician + $6,607 facility

ME $43,570WV $1,402

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.