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Implanted Inflatable Penile Prosthesis

Delaware rates for HCPCS 54405

Implants a device that lets a man produce an erection on demand. The full set is placed in one operation: inflatable cylinders inside the penis, a fluid reservoir in the abdomen, and a small pump placed in the scrotum that moves fluid between them. It is used for erectile dysfunction that has not responded to medicines or other treatments.

Rates data updated October 2026.

How much does Implanted Inflatable Penile Prosthesis cost?

$8,418

Typical total for the visit. In Delaware, October 2026.

Insurers have agreed to pay about $8,418 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $7,586 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$741 to $1,096
Facility feeThe hospital or surgery center$7,586$5,495 to $19,055

How much rates vary

Facilitymedian $7,586 · 10th to 90th $1,288 to $30,903Professionalmedian $832 · 10th to 90th $724 to $1,413
$200$1K$5K$20Kfacility $7,586professional $832

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$4,897.79
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$891.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$19,952.62
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$933.25
Typical High
$1,412.54
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$34,673.69
Typical High
$75,857.76
United
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$7,079.46
Typical High
$12,882.50
United
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$933.25
Typical High
$1,445.44

Where Delaware sits

The same service costs 12.8 times more in Alaska than in Hawaii. 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

Delaware· 31st of 51

$8,418

$832 physician + $7,586 facility

AK $31,420HI $2,445

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.