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Custom Fitting Of A Surgical Palate-Covering Device

Mississippi 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?

$2,318

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

Insurers have agreed to pay about $2,318 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $1,318 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$1,000$759 to $1,445
Facility feeThe hospital or surgery center$1,318$708 to $1,905

How much rates vary

Facilitymedian $1,318 · 10th to 90th $646 to $2,818Professionalmedian $1,000 · 10th to 90th $646 to $1,950
$50$100$200$500$1K$2K$5Kfacility $1,318professional $1,000

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
$660.69
Median
$794.33
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$1,862.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,513.56
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$2,089.30

Where Mississippi 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

Mississippi· 36th of 50

$2,318

$1,000 physician + $1,318 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.