One of the first practical questions men ask after deciding Aquablation is right for them is: what's this actually going to cost me? The answer depends on a few variables, but you can get a clear ballpark before you ever pick up the phone.
What Drives the Cost
- Your insurance plan and deductible status
- Whether your surgeon and facility are in-network
- Your coinsurance percentage
- Whether prior authorization is required
- Geographic location and facility fees
With Insurance: Typical Ranges
For most insured patients, out-of-pocket costs land somewhere between $0 and $3,000. If you've already met your deductible for the year and your surgeon and hospital are in-network, you may pay very little. If your deductible hasn't been met, expect to cover it plus your coinsurance up to your out-of-pocket maximum.
With Medicare
Medicare covers Aquablation. After the Part B deductible, Medicare pays 80% of the approved amount and you (or your supplemental plan) are responsible for the remaining 20%. Many men with a Medigap plan pay little to nothing out of pocket.
Without Insurance (Cash Pay)
A self-pay Aquablation typically runs $15,000–$25,000 all-in, including facility fees, surgeon fees, anesthesia, and the disposable instrumentation. Many centers offer self-pay bundled pricing, often lower than the sum of itemized charges. Ask the office for a bundled cash quote in writing.
Financing Options
- CareCredit and similar medical financing providers
- HSA / FSA funds
- In-house payment plans (ask the office directly)
How to Verify Your Costs Before Scheduling
- Call the number on the back of your insurance card and ask about CPT codes 0421T / 0422T
- Confirm whether prior authorization is required
- Ask about in-network status for both the surgeon and the facility
- Request a Good Faith Estimate from the office
Our office is happy to verify your benefits in advance and provide an estimate in writing before you commit. There should be no financial surprises.