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Custom-Made Facial Prosthesis

North Dakota rates for HCPCS 21088

Taking an impression of the face and custom-building an artificial replacement for a part of the face that has been lost through injury, cancer surgery, or a difference present from birth. The prosthesis is sculpted and colored to match the surrounding skin so it blends in, then fitted and adjusted until it sits correctly.

Rates data updated October 2026.

How much does Custom-Made Facial Prosthesis cost?

$3,311

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $2,884 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,467$3,020 to $4,898
FacilityA hospital or hospital-owned outpatient department$2,884$2,818 to $4,266

How much rates vary

Facilitymedian $2,884 · 10th to 90th $2,818 to $4,898Professionalmedian $3,467 · 10th to 90th $2,455 to $6,761
$100$500$2K$10Kfacility $2,884professional $3,467

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,467.37
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$7,943.28
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$4,168.69
Typical High
$4,677.35
United
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$3,548.13
Typical High
$6,309.57

Where North Dakota sits

The same service costs 21.4 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.

North Dakota· 26th of 51

$3,311

AK $13,804KY $646

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.