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Breast Prosthesis, Mastectomy Form

Minnesota rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$275

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $468 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 6 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$275$229 to $275
FacilityA hospital or hospital-owned outpatient department$468$275 to $1,023

How much rates vary

Facilitymedian $468 · 10th to 90th $234 to $2,239Professionalmedian $275 · 10th to 90th $174 to $316
$1.0$10.0$100.0$1.0Kfacility $468professional $275

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
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$275.42
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,023.29
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$363.08
Typical High
$398.11
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$2,238.72
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$275.42
Typical High
$1,258.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$158.49
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$380.19

Where Minnesota 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.

Minnesota $275 · 2nd 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.