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Implantable Breast Prosthesis

Kentucky rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated October 2026.

How much rates vary

Facilitymedian $3,311 · 10th to 90th $105 to $5,012Professionalmedian $1,349 · 10th to 90th $398 to $3,311
$100$200$500$1K$2K$5Kfacility $3,311professional $1,349

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
$3,311.31
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$3,311.31
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$60.26
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$39.81
Median
$331.13
Typical High
$331.13
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