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Implantable Breast Prosthesis

Pennsylvania rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

How much does Implantable Breast Prosthesis cost?

$832

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $1,288 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 7 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$398$398 to $398
FacilityA hospital or hospital-owned outpatient department$1,288$851 to $1,905

How much rates vary

Facilitymedian $1,288 · 10th to 90th $398 to $4,074Professionalmedian $398 · 10th to 90th $398 to $955
$200$500$1K$2K$5K$10K$20Kfacility $1,288professional $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
$1,258.93
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$512.86
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$52,480.75
Typical High
$69,183.10
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
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,778.28
Typical High
$3,311.31
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$39,810.72
Typical High
$69,183.10
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,258.93
Typical High
$4,786.30
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$512.86
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,548.13
Typical High
$5,623.41

Where Pennsylvania 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.

Pennsylvania· 17th of 51

$832

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.