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Custom Fitting Of A Surgical Palate-Covering Device

North Carolina 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?

$2,385

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $2,385 for this procedure. That total is two separate charges: $1,096 to the doctor who performs it, and $1,288 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$1,096$813 to $1,660
Facility feeThe hospital or surgery center$1,288$832 to $2,089

How much rates vary

Facilitymedian $1,288 · 10th to 90th $708 to $3,548Professionalmedian $1,096 · 10th to 90th $692 to $2,291
$200$500$1K$2K$5Kfacility $1,288professional $1,096

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
$691.83
Median
$1,548.82
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$1,288.25
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$2,089.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,995.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$3,467.37
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,778.28
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$4,365.16
Typical High
$4,365.16
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$7,413.10

Where North Carolina 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

North Carolina· 34th of 50

$2,385

$1,096 physician + $1,288 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.