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Custom Artificial Nose Prosthesis

Rhode Island rates for HCPCS 21087

Taking an impression and custom-building an artificial nose for someone who has lost part or all of the nose to injury, disease, or surgery. The prosthesis is sculpted and colored to blend with the surrounding face and is made to be put on and taken off by the wearer.

Rates data updated July 2026.

How much does Custom Artificial Nose Prosthesis cost?

$1,905

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,905 for this service. Most negotiated rates run $1,445 to $2,344.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,413 · 10th to 90th $3,236 to $13,183Professionalmedian $1,905 · 10th to 90th $1,318 to $2,818
$1.0K$2.0K$5.0K$10.0Kfacility $7,413professional $1,905

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,778.28
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,905.46
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,630.27
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,413.10
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,089.30
Typical High
$3,467.37

Where Rhode Island sits

The same service costs 2.6 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Rhode Island $1,905 · 25th of 51
AK $3,981DE $1,514

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.