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Inflatable Penile Prosthesis

Massachusetts rates for HCPCS C1813

Prosthesis, penile, inflatable

Rates data updated July 2026.

How much does Inflatable Penile Prosthesis cost?

$5,129

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $3,802 to $7,943.

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.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $3,715 to $38,019Professionalmedian $5,129 · 10th to 90th $3,802 to $7,943
$100$500$2K$10Kfacility $3,802professional $5,129

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
$3,715.35
Median
$3,801.89
Typical High
$38,018.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,128.61
Typical High
$7,943.28
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Health New England
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$10,000.00
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44

Where Massachusetts 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.

Massachusetts· 45th of 51

$5,129

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.