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Implantable Breast Prosthesis

Nationwide rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated October 2026.

How much does Implantable Breast Prosthesis cost?

$955

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $2,188 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 40 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$955$398 to $955
FacilityA hospital or hospital-owned outpatient department$2,188$398 to $3,311

How much rates vary

Facilitymedian $2,188 · 10th to 90th $398 to $5,012Professionalmedian $955 · 10th to 90th $12 to $3,311
$0.1$1$10$100$1K$10Kfacility $2,188professional $955

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$2,398.83
Typical High
$4,677.35
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$1,258.93
Typical High
$1,659.59
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$501.19
Typical High
$660.69
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$60.26
Median
$371.54
Typical High
$501.19
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$39.81
Median
$251.19
Typical High
$331.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$199.53
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$81.28
Typical High
$660.69
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$60.26
Median
$60.26
Typical High
$501.19
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$39.81
Median
$39.81
Typical High
$331.13
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$64.57
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$26,915.35
Typical High
$48,977.88
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$10.00
Typical High
$10.47
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$2,454.71
Typical High
$3,715.35
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$549.54
Typical High
$1,000.00
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$1,995.26
Typical High
$5,128.61
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$724.44
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$0.81
Median
$0.95
Typical High
$1.00
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$2,041.74
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
DeanCare
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$724.44
DeanCare
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$5,495.41
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$2,454.71
Typical High
$4,168.69
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
HMSA
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$2,454.71
Typical High
$4,168.69
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Health New England
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,511.89
Typical High
$8,709.64
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,862.09
Typical High
$4,168.69
Independence Blue Cross
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$32,359.37
Typical High
$69,183.10
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$1,445.44
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$64.57
Medcost
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$478.63
Medcost
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$2,041.74
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$426.58
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$1,659.59
Typical High
$1,659.59
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$1,513.56
Typical High
$3,019.95
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Moda Health
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$2,570.40
Typical High
$6,760.83
Moda Health
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$50.12
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,290.87
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Prevea360
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$724.44
Priority Health
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Providence
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$3,311.31
Providence
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Quartz
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Select Health
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$6,025.60
Select Health
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$5,011.87
Typical High
$6,309.57
Sentara
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Sentara
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,570.88
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$5,370.32
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$64.57
Univera
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Univera
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$851.14
Typical High
$851.14
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00

What it costs in each state

The same service costs 331.1 times more in Colorado than in Connecticut. 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.

Touch or drag across the chart to see any state's rate.

CO $3,311CT $10.00

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.