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Implantable Breast Prosthesis

Wisconsin rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated October 2026.

How much does Implantable Breast Prosthesis cost?

$3,311

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $724 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,311$955 to $3,311
FacilityA hospital or hospital-owned outpatient department$724$398 to $3,311

How much rates vary

Facilitymedian $724 · 10th to 90th $398 to $3,311Professionalmedian $3,311 · 10th to 90th $955 to $3,802
$500$1K$2K$5Kfacility $724professional $3,311

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
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$660.69
Median
$660.69
Typical High
$758.58
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$501.19
Median
$501.19
Typical High
$575.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$331.13
Median
$331.13
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$2,089.30
DeanCare
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$724.44
DeanCare
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$724.44
Typical High
$2,511.89
Prevea360
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$724.44
Quartz
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99

Where Wisconsin 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.

Wisconsin· 2nd of 51

$3,311

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.