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Custom Fitting Of A Surgical Palate-Covering Device

New Mexico 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?

$2,572

Typical total for the visit. In New Mexico, July 2026.

Insurers have agreed to pay about $2,572 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $1,660 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$912$813 to $1,122
Facility feeThe hospital or surgery center$1,660$1,096 to $8,710

How much rates vary

Facilitymedian $1,660 · 10th to 90th $891 to $12,882Professionalmedian $912 · 10th to 90th $724 to $2,239
$100$1K$10K$100Kfacility $1,660professional $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
$1,000.00
Median
$1,023.29
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$2,630.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$9,332.54
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$741.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,513.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$3,630.78
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$1,778.28

Where New Mexico 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

New Mexico· 28th of 50

$2,572

$912 physician + $1,660 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.