go back

Implantable Breast Prosthesis

Washington rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

Facilitymedian $646 · 10th–90th $398$7,9430%20%10th90th$646Professionalmedian $398 · 10th–90th $398$2,5120%50%90th$398$50.0$200.0$1.0K$5.0K$20.0K

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
$398.11
Median
$645.65
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$75.86
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81