go back

Excision of a Milk Duct Fistula

Connecticut 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?

$589

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $7,413 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 5 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$479$389 to $759
FacilityA hospital or hospital-owned outpatient department$7,413$5,248 to $8,710

How much rates vary

Facilitymedian $7,413 · 10th to 90th $4,571 to $11,749Professionalmedian $479 · 10th to 90th $282 to $1,148
$500$1K$2K$5K$10Kfacility $7,413professional $479

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
$3,981.07
Median
$6,918.31
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$436.52
Typical High
$1,174.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,748.98
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$1,258.93
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$501.19
Typical High
$977.24

Where Connecticut 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.

Connecticut· 20th of 51

$589

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.