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Custom Fitting Of A Surgical Palate-Covering Device

Michigan 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?

$2,087

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

Insurers have agreed to pay about $2,087 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $1,175 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$912$794 to $1,072
Facility feeThe hospital or surgery center$1,175$1,047 to $2,884

How much rates vary

Facilitymedian $1,175 · 10th to 90th $912 to $5,012Professionalmedian $912 · 10th to 90th $646 to $1,259
$200$500$1K$2K$5K$10Kfacility $1,175professional $912

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
$912.01
Median
$933.25
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,174.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$912.01
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,380.38
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,454.71
Typical High
$2,884.03
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,691.53
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,380.38

Where Michigan 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

Michigan· 38th of 50

$2,087

$912 physician + $1,175 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.