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Implantable Breast Prosthesis

California rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated October 2026.

How much does Implantable Breast Prosthesis cost?

$955

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $955 for this service. Most negotiated rates run $955 to $1,259.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $550 · 10th to 90th $398 to $2,754Professionalmedian $955 · 10th to 90th $513 to $1,259
$10$50$200$1Kfacility $550professional $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
$512.86
Median
$724.44
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$1,258.93
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$630.96
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$251.19
Typical High
$602.56
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$60.26
Median
$190.55
Typical High
$446.68
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$39.81
Median
$125.89
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$10.00
Typical High
$10.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$407.38
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
Providence
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$426.58
Typical High
$3,019.95
Providence
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99

Where California sits

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.

California· 12th of 51

$955

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.