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Implantable Breast Prosthesis

New Jersey rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated October 2026.

How much does Implantable Breast Prosthesis cost?

$646

Typical facility fee. In New Jersey, October 2026.

Insurers have agreed to pay about $646 for this service. Most negotiated rates run $295 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 $1,738 · 10th to 90th $295 to $32,359Professionalmedian $646 · 10th to 90th $295 to $955
$500$1K$2K$5K$10K$20K$50Kfacility $1,738professional $646

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
$295.12
Median
$645.65
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$645.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$147.91
Median
$147.91
Typical High
$316.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$58.88
Median
$58.88
Typical High
$128.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$43.65
Median
$43.65
Typical High
$95.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$29.51
Median
$29.51
Typical High
$64.57
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$26,915.35
Typical High
$43,651.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99

Where New Jersey 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.

New Jersey· 24th of 51

$646

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.