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Implantable Breast Prosthesis

New Mexico rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

How much does Implantable Breast Prosthesis cost?

$1,259

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,698 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,259$398 to $2,512
FacilityA hospital or hospital-owned outpatient department$1,698$398 to $2,818

How much rates vary

Facilitymedian $1,698 · 10th to 90th $398 to $2,818Professionalmedian $1,259 · 10th to 90th $398 to $3,311
$100$1K$10Kfacility $1,698professional $1,259

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
$2,570.40
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,258.93
Typical High
$3,311.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$3,311.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99

Where New Mexico 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.

New Mexico· 9th of 51

$1,259

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.