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Implantable Breast Prosthesis

Texas rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

Facilitymedian $3,162 · 10th–90th $468$8,5110%10%10th90th$3,162Professionalmedian $398 · 10th–90th $398$9550%50%90th$398$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,311.31
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,659.59
Typical High
$1,659.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$891.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
Providence
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$891.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$53.70