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Excision of a Milk Duct Fistula

Hawaii 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?

$2,512

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $2,512 for this service. Most negotiated rates run $501 to $5,248.

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.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,318 to $4,467Professionalmedian $2,512 · 10th to 90th $302 to $6,166
$50$100$200$500$1K$2K$5Kfacility $4,467professional $2,512

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
$1,318.26
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$588.84
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$676.08
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$3,235.94
Typical High
$6,165.95

Where Hawaii 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.

Hawaii· 2nd of 51

$2,512

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.