go back

Palatal Lift Prosthesis Fitting

Washington, DC rates for HCPCS 21083

A custom-made appliance is designed and fitted for the roof of the mouth to hold the soft palate up toward the back of the throat. Lifting the soft palate helps seal off the nose during speech and swallowing, which improves slurred or nasal-sounding speech and keeps food and liquid from escaping into the nose. The work covers taking the mold of the mouth and preparing the finished device.

Rates data updated July 2026.

How much does Palatal Lift Prosthesis Fitting cost?

$1,413

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,047 to $1,862.

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.

How much rates vary

Facilitymedian $1,413 · 10th to 90th $1,047 to $17,378Professionalmedian $1,413 · 10th to 90th $1,023 to $2,399
$1K$2K$5K$10K$20Kfacility $1,413professional $1,413

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
$1,047.13
Median
$1,047.13
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$2,398.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,290.87
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,905.46
Typical High
$3,388.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,290.87
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$13,182.57
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,949.84
Typical High
$3,388.44

Where Washington, DC sits

The same service costs 2.6 times more in Alaska than in Kentucky. 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.

Washington, DC· 33rd of 51

$1,413

AK $3,236KY $1,230

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.