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Inflatable Penile Prosthesis

Maine rates for HCPCS C1813

Prosthesis, penile, inflatable

Rates data updated July 2026.

How much does Inflatable Penile Prosthesis cost?

$6,026

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $6,026 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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $6,026 · 10th to 90th $10 to $7,943
$10$100$1Kprofessional $6,026

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
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$7,079.46
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.00
Typical High
$12.59
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$7,943.28
Typical High
$7,943.28

Where Maine 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.

Maine· 44th of 51

$6,026

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.