go back

Nipple Prosthesis, Prefabricated, Reusable

Pennsylvania rates for HCPCS L8032

Nipple prosthesis, prefabricated, reusable, any type, each

Rates data updated July 2026.

How much does Nipple Prosthesis, Prefabricated, Reusable cost?

$23.99

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $79.43 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 9 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$23.44$21.88 to $30.90
FacilityA hospital or hospital-owned outpatient department$79.43$30.90 to $170

How much rates vary

Facilitymedian $79 · 10th to 90th $20 to $245Professionalmedian $23 · 10th to 90th $20 to $46
$100$1K$10Kfacility $79professional $23

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
$20.42
Median
$20.42
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.39
Typical High
$39.81
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$30.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$89.13
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$46.77
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$79.43
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$23.44
Typical High
$50.12
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$169.82
Typical High
$269.15
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$43.65
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$47.86

Where Pennsylvania sits

The same service costs 2.8 times more in Kansas than in Delaware. 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.

Pennsylvania· 42nd of 51

$23.99

KS $57.54DE $20.42

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.