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Implantable Urinary Sphincter Prosthesis

California rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated October 2026.

How much does Implantable Urinary Sphincter Prosthesis cost?

$4,898

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $4,898 to $4,898.

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 $4,898 · 10th to 90th $2,455 to $7,079Professionalmedian $4,898 · 10th to 90th $4,898 to $4,898
$2K$5K$10Kfacility $4,898professional $4,898

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$724.44
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Providence
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$4,897.79
Typical High
$7,079.46
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$2,454.71

Where California sits

The same service costs 77.6 times more in Hawaii than in Montana. 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· 17th of 51

$4,898

HI $6,166MT $79.43

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.