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Implantable Urinary Sphincter Prosthesis

California rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated July 2026.

How much does Implantable Urinary Sphincter Prosthesis cost?

$2,455

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $4,898 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$2,455$2,399 to $4,898
FacilityA hospital or hospital-owned outpatient department$4,898$2,455 to $7,943

How much rates vary

Facilitymedian $4,898 · 10th to 90th $2,399 to $8,511Professionalmedian $2,455 · 10th to 90th $2,399 to $4,898
$100$1K$10Kfacility $4,898professional $2,455

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
$2,137.96
Median
$4,897.79
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,454.71
Typical High
$4,897.79
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,715.35
Typical High
$6,606.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$2,454.71

Where California sits

The same service costs 2.0 times more in New Mexico than in Maryland. 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.

California· 12th of 51

$2,455

NM $4,898MD $2,399

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.