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Inflatable Penile Prosthesis

New Jersey rates for HCPCS C1813

Prosthesis, penile, inflatable

Rates data updated July 2026.

How much rates vary

Facilitymedian $11,482 · 10th to 90th $1,622 to $30,200Professionalmedian $7,079 · 10th to 90th $3,802 to $7,943
$200$1K$5K$20Kfacility $11,482professional $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
$1,621.81
Median
$10,964.78
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$7,079.46
Typical High
$7,943.28
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$56,234.13
Typical High
$85,113.80