go back

Custom Fitting Of A Surgical Palate-Covering Device

Idaho 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?

$2,929

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

Insurers have agreed to pay about $2,929 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $1,698 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,230$891 to $1,514
Facility feeThe hospital or surgery center$1,698$1,122 to $2,754

How much rates vary

Facilitymedian $1,698 · 10th to 90th $794 to $3,981Professionalmedian $1,230 · 10th to 90th $759 to $1,778
$1K$2K$5Kfacility $1,698professional $1,230

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
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,630.27
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,445.44
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$1,548.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,288.25
Typical High
$2,041.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,715.35
Typical High
$5,011.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$1,905.46
Select Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$2,344.23
Typical High
$4,073.80
Select Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$851.14
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,467.37
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,819.70

Where Idaho 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

Idaho· 20th of 50

$2,929

$1,230 physician + $1,698 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.