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Excision of a Milk Duct Fistula

Alabama rates for HCPCS 19112

Surgical removal of an abnormal tunnel-like connection, called a fistula, that has formed between a milk duct and the skin near the nipple. It is done when the opening keeps draining fluid, becomes infected, or fails to heal, often after a prior breast infection or abscess. The surgeon removes the fistula tract and the affected section of duct through a small incision near the nipple or areola.

Rates data updated July 2026.

How much does Excision of a Milk Duct Fistula cost?

$417

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $2,138 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 4 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$407$309 to $427
FacilityA hospital or hospital-owned outpatient department$2,138$1,259 to $2,754

How much rates vary

Facilitymedian $2,138 · 10th to 90th $851 to $3,715Professionalmedian $407 · 10th to 90th $275 to $617
$500$1K$2K$5Kfacility $2,138professional $407

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
$794.33
Median
$1,230.27
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$645.65

Where Alabama sits

The same service costs 11.5 times more in California than in Rhode Island. 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.

Alabama· 47th of 51

$417

CA $4,467RI $389

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.