go back

Implantable Urinary Sphincter Prosthesis

Massachusetts rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated July 2026.

How much does Implantable Urinary Sphincter Prosthesis cost?

$2,455

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $2,455 for this service. Most negotiated rates run $2,399 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 $2,455 · 10th to 90th $708 to $16,218Professionalmedian $2,455 · 10th to 90th $2,399 to $4,898
$100$500$2K$10Kfacility $2,455professional $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
$707.95
Median
$2,454.71
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,454.71
Typical High
$4,897.79
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64

Where Massachusetts 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.

Massachusetts· 13th 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.