go back

Implantable Urinary Sphincter Prosthesis

Virginia rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated July 2026.

How much does Implantable Urinary Sphincter Prosthesis cost?

$2,399

Typical negotiated rate. In Virginia, July 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. 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$2,399$2,399 to $2,399
FacilityA hospital or hospital-owned outpatient department$2,399$2,399 to $4,074

How much rates vary

Facilitymedian $2,399 · 10th to 90th $20 to $7,079Professionalmedian $2,399 · 10th to 90th $2,399 to $4,898
$0.1$1$10$100$1K$10Kfacility $2,399professional $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
$19.05
Median
$2,398.83
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,454.71
Typical High
$4,466.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,073.80

Where Virginia 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.

Virginia· 44th 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.