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Implantable Breast Prosthesis

Virginia rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

How much does Implantable Breast Prosthesis cost?

$398

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $1,259 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$398$398 to $398
FacilityA hospital or hospital-owned outpatient department$1,259$692 to $2,291

How much rates vary

Facilitymedian $1,259 · 10th to 90th $398 to $3,548Professionalmedian $398 · 10th to 90th $398 to $1,259
$0.1$1$10$100$1K$10Kfacility $1,259professional $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
$1,348.96
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$741.31
Sentara
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,073.80

Where Virginia 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.

Virginia· 44th of 51

$398

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.