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Custom Fitting Of A Surgical Palate-Covering Device

Colorado 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?

$4,782

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

Insurers have agreed to pay about $4,782 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $3,890 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$759 to $1,122
Facility feeThe hospital or surgery center$3,890$1,349 to $7,079

How much rates vary

Facilitymedian $3,890 · 10th to 90th $891 to $8,511Professionalmedian $891 · 10th to 90th $708 to $1,622
$1K$2K$5K$10Kfacility $3,890professional $891

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
$707.95
Median
$707.95
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,318.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,122.02
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$1,905.46
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,148.15
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$977.24
Typical High
$2,951.21
Select Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,258.93
Typical High
$1,995.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,548.13
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$2,041.74

Where Colorado 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

Colorado· 8th of 50

$4,782

$891 physician + $3,890 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.