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Excision of a Milk Duct Fistula

Louisiana 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?

$550

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $2,512 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$427$363 to $550
FacilityA hospital or hospital-owned outpatient department$2,512$1,072 to $3,890

How much rates vary

Facilitymedian $2,512 · 10th to 90th $550 to $5,623Professionalmedian $427 · 10th to 90th $302 to $603
$500$1K$2K$5K$10Kfacility $2,512professional $427

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
$501.19
Median
$1,905.46
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,897.79
Typical High
$7,244.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$537.03
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,951.21
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$776.25

Where Louisiana 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.

Louisiana· 23rd of 51

$550

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.