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Implantable Urinary Sphincter Prosthesis

New York rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated October 2026.

How much does Implantable Urinary Sphincter Prosthesis cost?

$2,455

Typical negotiated rate. In New York, October 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 $2,399 to $4,898Professionalmedian $2,455 · 10th to 90th $0 to $2,455
$0.1$1$10$100$1K$10Kfacility $2,455professional $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
$2,398.83
Median
$2,454.71
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,454.71
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$478.63
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$363.08
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$239.88
Median
$245.47
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
United
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where New York 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.

New York· 21st 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.