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Inflatable Penile Prosthesis

Illinois rates for HCPCS C1813

Prosthesis, penile, inflatable

Rates data updated July 2026.

How much rates vary

Facilitymedian $7,943 · 10th to 90th $7,762 to $28,184Professionalmedian $7,943 · 10th to 90th $7,079 to $7,943
$5K$10K$20Kfacility $7,943professional $7,943

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
$7,762.47
Median
$8,709.64
Typical High
$28,183.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$7,943.28
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00