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Inflatable Penile Prosthesis

California rates for HCPCS C1813

Prosthesis, penile, inflatable

Rates data updated July 2026.

How much does Inflatable Penile Prosthesis cost?

$7,079

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $7,079 for this service. The price depends on where it is billed: about $7,079 from a physician practice, and about $7,943 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7,079$3,890 to $7,943
FacilityA hospital or hospital-owned outpatient department$7,943$4,169 to $13,804

How much rates vary

Facilitymedian $7,943 · 10th to 90th $2,138 to $35,481Professionalmedian $7,079 · 10th to 90th $3,802 to $9,333
$10$100$1K$10Kfacility $7,943professional $7,079

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$9,332.54
Typical High
$42,657.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$7,079.46
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.00
Typical High
$10.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$7,943.28
Typical High
$13,182.57
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$3,801.89

Where California sits

The same service costs 2.1 times more in Arizona than in New Hampshire. 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.

California· 39th of 51

$7,079

AZ $7,943NH $3,802

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.