What UroLift costs,
answered straight
The short answer: with Original Medicare and a Medigap Plan G, UroLift costs you at most $283, the 2026 Part B deductible, and nothing if you have already met it this year. UroLift is typically covered by Medicare and most PPO and commercial plans when BPH symptoms are documented, and because it happens in the office rather than an operating room, the bills it generates are structurally smaller. Here is how the money works, verified against your plan before anything is scheduled.
Medically reviewed by Hari Sawkar, MD, board-certified urologist · Updated October 2026
How coverage works
Three things decide your number, and the office checks all three before you commit.
Medicare
Covers office-based UroLift for documented BPH. After the Part B deductible, Medicare pays 80 percent, and a supplement typically absorbs most or all of the rest.
PPO and commercial plans
Most cover UroLift with documented symptoms; some require prior authorization, which the office handles, including the imaging and symptom-score paperwork.
No facility markup
No hospital admission, no operating room, no anesthesia team. The office setting removes the largest line items a surgical bill usually carries.
What patients actually pay
UroLift is an office procedure, which is the single biggest reason the bill runs lighter than hospital surgery: there is no facility or anesthesia charge, only the procedure and the implants, billed under your medical benefit. These are the 2026 structures; the office confirms your exact numbers before scheduling.
| Coverage situation | What you typically owe | Worth knowing |
|---|---|---|
| Medicare plus a Medigap supplement | Usually $0 beyond the $283 Part B deductible | Plans F and G pick up the 20 percent coinsurance; Plan G leaves the Part B deductible to you |
| Original Medicare only | The $283 Part B deductible if not yet met, then 20 percent of the Medicare-allowed amount for the procedure and the implants | Office procedures fall entirely under Part B; there is no hospital deductible because there is no hospital |
| Medicare Advantage | An office-procedure or outpatient-surgery copay set by your plan | Prior authorization is often required and the office handles it; the copay is listed in your Evidence of Coverage |
| PPO or commercial plan | Your remaining deductible, then coinsurance, commonly 10 to 30 percent, up to your out-of-pocket maximum | The office setting keeps the total well below hospital surgery even before insurance |
| Self-pay | A bundled quote on request, implants included | One number for the visit, the procedure, and the implants |
2026 Medicare deductibles from CMS. Coinsurance percentages describe typical plan designs, not quotes; the office verifies your plan and gives you a written estimate before anything is scheduled.
What changes your number
Four things decide most of the difference between one patient's bill and the next.
Whether your deductible is met
The $283 Part B deductible applies once a year. Once it has been met, Medicare patients with a Medigap Plan G typically owe nothing for UroLift.
Office, not hospital
UroLift is done in the office, so there is no facility fee and no anesthesia fee, which keeps the total well below hospital surgery on every kind of plan.
Your plan's design
Medicare Advantage plans set their own copays and usually require prior authorization; PPO plans apply your deductible and coinsurance up to the out-of-pocket maximum. The office checks both before scheduling.
Pre-tax dollars
Your share is a qualified medical expense, so it can be paid from a health savings account or flexible spending account.
Common questions about UroLift costs
Does Medicare cover UroLift
Yes, for documented BPH symptoms. After the Part B deductible, Medicare pays 80 percent, and a Medicare supplement typically covers most or all of the remainder, which is why many men with a supplement owe little to nothing.
What will I actually pay out of pocket
It depends on your deductible status, your coinsurance percentage, and whether you carry a supplement, not on a list price. The office verifies your specific benefits and tells you the real number before anything is scheduled.
Is UroLift cheaper than surgery
Structurally, yes: no hospital, no operating room, no overnight stay. Your personal cost still depends on your plan, which is exactly what the verification sorts out in advance.
How much does UroLift cost
With Original Medicare, the $283 Part B deductible if it is not yet met, then 20 percent of the Medicare-allowed amount for the procedure and the implants, and nothing for a hospital because there is none. A Medigap supplement usually absorbs the coinsurance. PPO plans apply their deductible and coinsurance, and self-pay patients get one bundled quote with the implants included.
Get your real number
Send the office your insurance details and the team verifies your UroLift coverage before you commit to anything. Same-day and next-day appointments, telehealth available.
Chief of Urology, Providence St. Joseph Hospital · UroLift Center of Excellence · 250+ Aquablation procedures