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Implantable Breast Prosthesis

Ohio rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

How much does Implantable Breast Prosthesis cost?

$1,479

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,738 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 4 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$955$398 to $3,311
FacilityA hospital or hospital-owned outpatient department$1,738$1,000 to $2,455

How much rates vary

Facilitymedian $1,738 · 10th to 90th $891 to $4,266Professionalmedian $955 · 10th to 90th $398 to $3,311
$500$1K$2K$5Kfacility $1,738professional $955

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
$891.25
Median
$1,737.80
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$2,570.40
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99

Where Ohio 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.

Ohio· 7th of 51

$1,479

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.