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Other Breast Prosthesis

California rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Rates data updated July 2026.

How much does Other Breast Prosthesis cost?

$63.10

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $63.10 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 7 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$52.48$46.77 to $105
FacilityA hospital or hospital-owned outpatient department$63.10$53.70 to $87.10

How much rates vary

Facilitymedian $63 · 10th to 90th $50 to $158Professionalmedian $52 · 10th to 90th $40 to $776
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $63professional $52

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
$776.25
Median
$776.25
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$85.11
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$630.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$269.15
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$77.62
Typical High
$870.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$104.71

Where California sits

The same service costs 16.6 times more in Oregon than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $63.10 · 9th of 51
OR $776HI $46.77

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.