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Nipple Exploration and Removal of a Milk Duct

Virginia 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 July 2026.

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

$2,754

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $2,754 for this service. Most negotiated rates run $513 to $5,888.

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.

How much rates vary

Facilitymedian $2,754 · 10th to 90th $389 to $8,318Professionalmedian $646 · 10th to 90th $427 to $1,175
$500$1K$2K$5K$10Kfacility $2,754professional $646

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. 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
Global
Typical Low
$512.86
Median
$3,467.37
Typical High
$7,244.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$616.60
Typical High
$1,659.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$870.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63

Where Virginia sits

The same service costs 20.4 times more in Delaware than in West Virginia. 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.

Virginia· 29th of 50

$2,754

DE $9,333WV $457

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.