go back

Custom Fitting Of A Surgical Palate-Covering Device

North Dakota 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?

$2,420

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

Insurers have agreed to pay about $2,420 for this procedure. That total is two separate charges: $1,549 to the doctor who performs it, and $871 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$1,549$912 to $1,862
Facility feeThe hospital or surgery center$871$759 to $912

How much rates vary

Facilitymedian $871 · 10th to 90th $708 to $1,259Professionalmedian $1,549 · 10th to 90th $759 to $2,239
$1K$2K$5Kfacility $871professional $1,549

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
$758.58
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$870.96
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,659.59
Typical High
$2,398.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,698.24
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,677.35
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,479.11
Typical High
$2,041.74

Where North Dakota 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 Dakota· 31st of 50

$2,420

$1,549 physician + $871 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.