Search thousands of topics on CostHelper

BROWSE ALL TOPICS >> babies & children  cars  consumer electronics health & personal care home & garden personal finance  pets  schools small business sports weddings
CostHelper > Health & Personal Care  > Medical Equipment and Orthopedics > Breast Prosthesis

Breast Prosthesis Cost


How Much Does a Breast Prosthesis Cost?

 
average costWith Health Insurance: Copays + 10%-50% Coinsurancehigh costWithout Health Insurance: $15-$1,000+
post Post    

An external breast prosthesis can be used as an alternative to breast reconstruction after a lumpectomy or mastectomy, usually for breast cancer, or temporarily before reconstruction. The prosthesis can create the appearance of a breast or breasts under clothing, and can add weight to help posture and prevent muscle pain and spine curvature.

Typical costs:

  • For patients with health insurance, out-of-pocket costs typically consist of doctor visit copays and coinsurance of 10%-50%. Under the Women's Health and Cancer Rights Act[1] , health insurance plans that cover mastectomy must also cover a prosthesis. For example, BlueCross BlueShield of North Carolina[2] covers external breast prostheses when they are medically necessary. Insurance plans typically cover replacement of a prosthesis every few years.
  • For patients without health insurance, a breast prosthesis can cost about $15 to more than $500 each, or, for a patient who has had a double mastectomy, under $30 to more than $1,000 for a pair. A basic prosthesis made of foam tends to be priced at the lower end of the range, and a silicone prosthesis falls in the middle. A "contact," or adhesive prosthesis, which sticks directly to the skin rather than being held in the pouch of a mastectomy bra, tends to cost the most.
  • For example, at Park Mastectomy, a non-silicone breast prosthesis[3] , which might be made of foam or polyfill, costs $12-$80. At the Simms/Mann UCLA Center for Integrative Oncology, a non-silicone breast prosthesis[4] costs $40-$80. At the Seattle Cancer Care Alliance, a non-silicone breast prosthesis[5] costs $150-$200. At MastectomyShop.com, a breast prosthesis for swimming[6] costs $75-$220.
  • At Park Mastectomy, equalizers[7] , also called shapers or enhancers, for women who have had a lumpectomy, cost $50-$260. At the Simms/Mann UCLA Center for Integrative Oncology equalizers[8] cost $80-$225.
  • For a silicon prosthesis[9] , the Simms/Mann UCLA Center for Integrative Oncoloy charges $215-$350. At NearlyYou.com, a silicone prosthetic breast[10] costs $90-$250. Seattle Cancer Care Alliance, meanwhile, charges $245-$390 for a silicone breast prosthesis[11] .
  • At Park Mastectomy, adhesive breast forms[12] that stick directly to the chest cost $130-$265. At the Seattle Cancer Care Alliance, a "contact form" breast prosthesis[13] costs $400-$550.
Related articles: Breast Cancer Treatment, Breast Reconstruction, Chemotherapy, Health Insurance

What should be included:
  • About a month after surgery, a certified mastectomy fitter will measure a patient and help the patient decide what kind of breast prosthesis will work best for her needs. Points to consider include comfort, lifestyle, appearance and the size and shape of the remaining breast, if the patient has one.
  • Options include a non-silicone breast prosthesis, which is less expensive and lighter, or a silicone breast prosthesis, which tends to look more natural and weighs more to balance posture and help avoid back problems.
  • BreastCancer.org offers an overview of breast prostheses[14] .
Additional costs:
  • Some breast forms are designed to be attached directly to the body, but others fit into a specially designed mastectomy bra. At the Simms/Mann UCLA Center for Integrative Oncology, a mastectomy bra [15] costs from $36-$65. Insurance companies often cover two or more new bras every six months to a year, according to Simms/Mann.
  • A breast prosthesis typically needs to be replaced every two years, which usually is covered by insurance.
Discounts:
  • Some non-profits offer financial assistance for prosthetic breasts. For example, the All4One Alliance has programs[16] that provide up to $300 per year toward a prosthetic breast and $100 a year toward a post-mastectomy garment.
Shopping for a breast prosthesis:
  • The American Cancer Society offers a list of breast prosthesis manufacturers and mastectomy shops[17] where patients can get fitted for and purchase a breast prosthesis.
  • A patient should be fitted for a breast prosthesis by a mastectomy fitter who is certified by the American Board for Certification in Orthotics, Prosthetics and Pedorthics[18] or the Board for Orthotist/Prosthetist Certification[19] . The Amputee Coalition offers tips on choosing a prosthetist[20] .
  • Cancer.net offers a guide[21] to choosing a breast prosthesis.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
post Post    
CostHelper News


10 Quick and Inexpensive Home Makeover Projects To Do While At Home
You may not be able to host the large family gathering for the holidays, but there are still many ways to pick up items curbside to spruce up your indoor space for your everyday enjoyment and to bring a more festive spirit. || Posted December 30 2020


10 Key Ways to Prepare for Extreme Snow
Forecasters are predicting a true nor'easter will hit the eastern and central states with rain, thunderstorms, ice, snow and high winds over the Thanksgiving weekend. It's crucial to plan ahead, before bad weather hits. || Posted November 26 2013

‣ All CostHelper Blog Posts


What People Are Paying - Recent Comments


 

Comment On Your Experience With a Breast Prosthesis
 
Subject:  *
Amount Spent:  *
Type of Prosthetic: Material: 
Comments: 
Purchased:  Year: 
City:  * State:  *
 
Information about you:
Email:  * Email addresses are not displayed.
Name:  This is the name we'll display with your post.
me on this computer
*=required field.
 



External Resources:
  1.  www.cancer.org/treatment/findingandpayingfortreatment/managinginsuranceissues/wome...
  2.  www.bcbsnc.com/content/providers/news-and-information/news/Orthotic%20prosthetic%2...
  3.  www.parkmastectomy.com/category/Foam-Polyfil-Breast-Forms.html
  4.  www.simmsmanncenter.ucla.edu/reflections/section/breast_prostheses_bras.asp
  5.  www.seattlecca.org/breast-prosthetics-mastectomy-bras.cfm
  6.  www.mastectomyshop.com/categories/Breast-Forms/Swim-Form/
  7.  www.parkmastectomy.com/category/Breast-Form-Lumpectomy.html
  8.  www.simmsmanncenter.ucla.edu/reflections/section/breast_prostheses_bras.asp
  9.  www.simmsmanncenter.ucla.edu/reflections/section/breast_prostheses_bras.asp
  10.  www.nearlyou.com/
  11.  www.seattlecca.org/breast-prosthetics-mastectomy-bras.cfm
  12.  www.parkmastectomy.com/category/Attachable-Breast-Forms.html
  13.  www.seattlecca.org/breast-prosthetics-mastectomy-bras.cfm
  14.  www.breastcancer.org/treatment/surgery/reconstruction/prosthetics
  15.  www.simmsmanncenter.ucla.edu/reflections/section/breast_prostheses_bras.asp
  16.  www.all4onealliance.org/breast-cancer-resources/
  17.  www.cancer.org/cancer/breastcancer/moreinformation/breast-prostheses-and-hair-loss...
  18.  www.abcop.org/certification/CertifiedFitterMastectomy/Pages/Default.aspx
  19.  www.bocusa.org/mastectomy-fitter-certification-cmf
  20.  www.amputee-coalition.org/first_step_2003/choosing-a-prosthetist.html
  21.  www.cancer.net/all-about-cancer/cancernet-feature-articles/after-treatment-and-sur...
More Health & Personal Care Topics
Check Out All Costs for Health & Personal Care How Much Do Dentures Cost? How Much Does a Knee Brace Cost? How Much Does an Emergency Room Visit Cost?

Search Thousands of Topics on CostHelper.com

 
Today's Featured Cost Articles

About CostHelper
CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Our writers are experienced journalists who adhere to our strict editorial ethics policy.

CostHelper Community
Radiologist Fee
Paid: 350.00
Any radiologist reading your mammogram will be at least $350. They have 11-13 years of training after high school before they begin work. If they are not board certified, watch out. Most are and it beats getting cancer... [more]
-Lowes Fan
Mammogram Cost
DIY Ceiling
Paid: 50.00
We bought a house with a cheap paint job. The ceilings were sprayed the same color as the walls. During COVID I painted the ceilings and a bathroom. A 120 square foot room took me about 4 hours (2 coats)... [more]
-Lowes Fan
Painting an Interior Cost
DIY vs Installed Small Deck
Paid: 3000.00
We paid $1300 for materials and $1700 for labor on a 100 square foot composite deck plus a redwood gate. It took 30 hours, done last year. My husband built a 100 sf heart redwood deck for about $1000 in materials in 2019... [more]
-Lowe's Fan
Redwood Deck Cost
Colposcopy with biopsy
Paid: 756.00
This service was wayy to expensive in my opinion. For a 20-25 minute total visit I had to pay out of pocked 756 - 187 to OBGYN, 229 to pathologist, then 340$ for facility fee or the hospital. I don't even know what that charge was for... [more]
-D S
Colposcopy Cost
Bilateral Diagnostic Mammogram and Third Mammogram
Paid: 1389.66
My 2021 bill, still in shock! Weill Cornell, in-network provider, billed my insurance $908 for a bilateral diagnostic mammogram, and $712 for a third mammogram one breast... [more]
-GinaF
Mammogram Cost
shoulder mri
Paid: 8000.00
Seriously, 8K for an MRI before all the secret insurance kicks in. I was stuck with a 1200 bill and my insurance is pretty good. This is insane for a 20 minute procedure with no nurse assistance... [more]
-stevej45
MRI Cost