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Implantable Urinary Sphincter Prosthesis

Massachusetts rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated October 2026.

How much does Implantable Urinary Sphincter Prosthesis cost?

$2,455

Typical facility fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $2,455 for this service. Most negotiated rates run $2,455 to $2,455.

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 $2,951 · 10th to 90th $56 to $8,511Professionalmedian $2,455 · 10th to 90th $2,455 to $4,898
$100$1K$10Kfacility $2,951professional $2,455

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$489.78
Median
$489.78
Typical High
$977.24
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$371.54
Median
$371.54
Typical High
$724.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$245.47
Median
$245.47
Typical High
$489.78
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$64.57
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$64.57

Where Massachusetts 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.

Massachusetts· 23rd of 51

$2,455

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.