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Nipple Exploration and Removal of a Milk Duct

Hawaii rates for HCPCS 19110

Through a small incision at the edge of the nipple, the milk ducts underneath are opened up and examined. A single duct, or a small wart-like growth inside a duct, is removed and sent for examination. It is most often done to find the cause of bloody or clear discharge coming from one spot on the nipple.

Rates data updated October 2026.

How much does Nipple Exploration and Removal of a Milk Duct cost?

$1,772

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $1,772 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $1,259 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$324 to $617
Facility feeThe hospital or surgery center$1,259$1,096 to $2,570

How much rates vary

Facilitymedian $1,259 · 10th to 90th $977 to $3,890Professionalmedian $513 · 10th to 90th $30 to $813
$50$100$200$500$1K$2K$5Kfacility $1,259professional $513

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$2,818.38
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$380.19
Typical High
$588.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$616.60
Typical High
$616.60
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$616.60
Typical High
$794.33
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$616.60
Typical High
$616.60
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$416.87
Typical High
$4,265.80

Where Hawaii sits

The same service costs 5.2 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Hawaii· 47th of 51

$1,772

$513 physician + $1,259 facility

CO $6,505MT $1,254

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.