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Noninflatable Penile Prosthesis

Utah rates for HCPCS C2622

Prosthesis, penile, noninflatable

Rates data updated October 2026.

How much does Noninflatable Penile Prosthesis cost?

$3,981

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $3,981 to $3,981.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $3,981 to $3,981Professionalmedian $3,981 · 10th to 90th $3,802 to $3,981
$50$100$200$500$1K$2K$5Kfacility $3,981professional $3,981

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
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$5,011.87
Typical High
$6,309.57

Where Utah sits

The same service costs 95.5 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.

Utah· 5th of 51

$3,981

HI $7,586MT $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.