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Inflatable Penile Prosthesis

Ohio rates for HCPCS C1813

Prosthesis, penile, inflatable

Rates data updated July 2026.

How much does Inflatable Penile Prosthesis cost?

$7,943

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $7,943 for this service. Most negotiated rates run $7,079 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,943 · 10th to 90th $5,888 to $29,512Professionalmedian $7,943 · 10th to 90th $7,079 to $7,943
$2K$5K$10K$20K$50Kfacility $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
$5,888.44
Median
$7,943.28
Typical High
$29,512.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$7,943.28
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,748.98
Typical High
$17,378.01

Where Ohio 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.

Ohio· 21st of 51

$7,943

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.