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Inflatable Penile Prosthesis

Virginia rates for HCPCS C1813

Prosthesis, penile, inflatable

Rates data updated July 2026.

How much does Inflatable Penile Prosthesis cost?

$3,802

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,802 from a physician practice, and about $4,467 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,802$3,802 to $7,943
FacilityA hospital or hospital-owned outpatient department$4,467$3,802 to $7,943

How much rates vary

Facilitymedian $4,467 · 10th to 90th $3,802 to $11,220Professionalmedian $3,802 · 10th to 90th $3,802 to $7,943
$0.1$1$10$100$1K$10Kfacility $4,467professional $3,802

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
$3,801.89
Median
$4,466.84
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$7,943.28
Typical High
$12,882.50
Sentara
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,073.80

Where Virginia 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.

Virginia· 50th of 51

$3,802

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.