go back

Implanted Inflatable Penile Prosthesis

South Dakota 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 July 2026.

How much does Implanted Inflatable Penile Prosthesis cost?

$1,380

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,380 for this service. Most negotiated rates run $1,202 to $1,585.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,239 · 10th to 90th $955 to $7,079Professionalmedian $1,380 · 10th to 90th $1,072 to $1,698
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $2,239professional $1,380

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. 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
Global
Typical Low
$812.83
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,778.28
Typical High
$1,905.46
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,380.38
Typical High
$1,584.89
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$42,657.95

Where South Dakota sits

The same service costs 52.5 times more in Maine than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $1,380 · 47th of 50
ME $42,658ND $813

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.