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Custom Fitting Of A Surgical Palate-Covering Device

Alaska rates for HCPCS 21076

This is the process of taking impressions and custom-designing a prosthetic device that covers and seals an opening in the roof of the mouth, made to be placed at the time of surgery such as after removal of a tumor. It helps the patient speak, swallow, and eat normally while the surgical area heals.

Rates data updated July 2026.

How much does Custom Fitting Of A Surgical Palate-Covering Device cost?

$3,737

Typical total for the visit. In Alaska, July 2026.

Insurers have agreed to pay about $3,737 for this procedure. That total is two separate charges: $2,188 to the doctor who performs it, and $1,549 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,188$891 to $3,467
Facility feeThe hospital or surgery center$1,549$1,122 to $2,754

How much rates vary

Facilitymedian $1,549 · 10th to 90th $759 to $4,266Professionalmedian $2,188 · 10th to 90th $759 to $4,266
$1K$2K$5Kfacility $1,549professional $2,188

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
$2,187.76
Median
$2,454.71
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,445.44
Typical High
$3,019.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,513.56
Typical High
$4,265.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,754.23
Typical High
$4,570.88
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,467.37
Typical High
$5,128.61
Providence
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,513.56
Typical High
$4,265.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,318.26
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$3,548.13
Typical High
$5,011.87

Where Alaska sits

The same service costs 6.8 times more in Indiana than in Delaware. 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.

Physician feeFacility fee

Alaska· 13th of 50

$3,737

$2,188 physician + $1,549 facility

IN $8,794DE $1,299

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.