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Implantable Breast Prosthesis

Massachusetts rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

How much does Implantable Breast Prosthesis cost?

$398

Typical facility fee. In Massachusetts, July 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,862 · 10th to 90th $398 to $3,715Professionalmedian $398 · 10th to 90th $398 to $1,259
$200$500$1K$2K$5Kfacility $1,862professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,819.70
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,258.93
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,511.89
Typical High
$6,606.93
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09

Where Massachusetts sits

The same service costs 7.6 times more in Mississippi than in Utah. 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.

Massachusetts· 40th of 51

$398

MS $3,020UT $398

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.