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Implantable Urinary Sphincter Prosthesis

Texas rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated October 2026.

How much does Implantable Urinary Sphincter Prosthesis cost?

$2,399

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $2,399 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,399$30.20 to $2,399
FacilityA hospital or hospital-owned outpatient department$2,399$2,399 to $3,467

How much rates vary

Facilitymedian $2,399 · 10th to 90th $2,399 to $12,023Professionalmedian $2,399 · 10th to 90th $30 to $2,399
$100$1K$10Kfacility $2,399professional $2,399

Distribution of negotiated rates across all payers (price axis is log-scale). 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
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$27,542.29
Moda Health
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$4,897.79
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$79.43
Typical High
$2,454.71

Where Texas 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.

Texas· 34th of 51

$2,399

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.