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Breast Prosthesis, Mastectomy Form

Idaho rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$209

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $269 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 8 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$204$158 to $282
FacilityA hospital or hospital-owned outpatient department$269$209 to $282

How much rates vary

Facilitymedian $269 · 10th to 90th $138 to $363Professionalmedian $204 · 10th to 90th $120 to $324
$1.0$10.0$100.0$1.0Kfacility $269professional $204

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
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$169.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$239.88
Typical High
$309.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$251.19
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$281.84
Typical High
$281.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$323.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$446.68
Select Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$213.80

Where Idaho sits

The same service costs 2.8 times more in Kansas than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Idaho $209 · 11th of 51
KS $339NE $120

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.