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Implanted Inflatable Penile Prosthesis

West Virginia 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?

$2,761

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $2,761 for this procedure. That total is two separate charges: $1,023 to the doctor who performs it, and $1,738 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,023$813 to $1,514
Facility feeThe hospital or surgery center$1,738$891 to $16,596

How much rates vary

Facilitymedian $1,738 · 10th to 90th $891 to $48,978Professionalmedian $1,023 · 10th to 90th $692 to $2,455
$1K$2K$5K$10K$20K$50K$100Kfacility $1,738professional $1,023

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
$891.25
Median
$891.25
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$891.25
CareSource
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$48,977.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,258.93
Typical High
$5,128.61
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$19,952.62
Typical High
$131,825.67
United
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$12,882.50
Typical High
$57,543.99
United
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$933.25
Typical High
$2,137.96

Where West Virginia 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

West Virginia· 49th of 51

$2,761

$1,023 physician + $1,738 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.