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Custom Fitting Of A Surgical Palate-Covering Device

Nevada 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?

$1,704

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

Insurers have agreed to pay about $1,704 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $813 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$891$794 to $1,175
Facility feeThe hospital or surgery center$813$661 to $3,890

How much rates vary

Facilitymedian $813 · 10th to 90th $661 to $5,888Professionalmedian $891 · 10th to 90th $661 to $1,778
$50$100$200$500$1K$2K$5Kfacility $813professional $891

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
$741.31
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$3,801.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,659.59
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$812.83
Typical High
$1,380.38
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,380.38
Select Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$912.01
Select Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,862.09
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,584.89

Where Nevada 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

Nevada· 45th of 50

$1,704

$891 physician + $813 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.