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Implantable Breast Prosthesis

Virginia rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated October 2026.

How much does Implantable Breast Prosthesis cost?

$562

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $417 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$955$398 to $955
FacilityA hospital or hospital-owned outpatient department$417$398 to $501

How much rates vary

Facilitymedian $417 · 10th to 90th $398 to $692Professionalmedian $955 · 10th to 90th $398 to $955
$10$50$200$1K$5Kfacility $417professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$691.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$10.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Medcost
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$416.87
Typical High
$616.60
Sentara
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Sentara
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,570.88

Where Virginia 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.

Virginia· 25th of 51

$562

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.