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Implantable Breast Prosthesis

Indiana rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated October 2026.

How much does Implantable Breast Prosthesis cost?

$398

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $398 for this service. Most negotiated rates run $398 to $955.

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 $3,311 · 10th to 90th $398 to $5,012Professionalmedian $398 · 10th to 90th $398 to $3,311
$500$1K$2K$5Kfacility $3,311professional $398

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
$398.11
Median
$3,467.37
Typical High
$5,011.87
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
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
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

Where Indiana 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.

Indiana· 29th of 51

$398

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.