Covers the making or fitting of an artificial replacement for a missing or damaged part of the face, jaw or mouth when no standard named service applies. These custom devices restore appearance and function after cancer surgery, injury, or a condition present from birth. Because each one is built for a single person, the specialist records exactly what was designed and fitted.
Rates data updated July 2026.
How much does Unlisted Face or Jaw Prosthesis Service cost?
$646
Typical facility fee. In Iowa, July 2026.
Insurers have agreed to pay about $646 for this service. Most negotiated rates run $525 to $1,622.
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 3 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $692 · 10th to 90th $372 to $2,344Professionalmedian $151 · 10th to 90th $151 to $151
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Professional
Global
$151.36
$151.36
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$691.83
Typical High
$2,137.96
Facility
Global
$363.08
$691.83
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$645.65
Typical High
$2,884.03
Facility
Global
$371.54
$645.65
$2,884.03
Where Iowa sits
The same service costs 1148.2 times more in Pennsylvania than in Maryland. 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.