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Implantable Breast Prosthesis

Alabama rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated October 2026.

How much rates vary

Facilitymedian $3,311 · 10th to 90th $3,311 to $3,311Professionalmedian $955 · 10th to 90th $955 to $3,311
$500$1K$2Kfacility $3,311professional $955

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
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99