go back

Implantable Urinary Sphincter Prosthesis

Pennsylvania rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated July 2026.

How much does Implantable Urinary Sphincter Prosthesis cost?

$2,399

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,399 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,514 to $21,878Professionalmedian $2,399 · 10th to 90th $2,399 to $2,455
$2K$5K$10K$20K$50Kfacility $3,715professional $2,399

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
$1,513.56
Median
$3,019.95
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$7,244.36
Typical High
$33,113.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,630.78
Typical High
$40,738.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,454.71
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,302.69
Typical High
$19,952.62

Where Pennsylvania 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.

Pennsylvania· 30th of 51

$2,399

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.