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Implantable Urinary Sphincter Prosthesis

New Mexico rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated July 2026.

How much does Implantable Urinary Sphincter Prosthesis cost?

$4,898

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $4,898 for this service. The price depends on where it is billed: about $4,898 from a physician practice, and about $2,455 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$4,898$2,399 to $4,898
FacilityA hospital or hospital-owned outpatient department$2,455$2,399 to $7,762

How much rates vary

Facilitymedian $2,455 · 10th to 90th $2,399 to $81,283Professionalmedian $4,898 · 10th to 90th $2,399 to $4,898
$100$1K$10K$100Kfacility $2,455professional $4,898

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. 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
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,897.79
Typical High
$4,897.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$4,897.79
Providence
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71

Where New Mexico 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.

New Mexico· 1st of 51

$4,898

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.