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Excision of a Milk Duct Fistula

Minnesota 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?

$933

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $2,692 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 6 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$891$646 to $1,202
FacilityA hospital or hospital-owned outpatient department$2,692$1,259 to $5,888

How much rates vary

Facilitymedian $2,692 · 10th to 90th $447 to $11,482Professionalmedian $891 · 10th to 90th $457 to $1,622
$500$1K$2K$5K$10K$20Kfacility $2,692professional $891

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
$309.03
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$8,511.38
Typical High
$17,378.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,202.26
Typical High
$1,949.84
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$3,467.37
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$7,762.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,000.00
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,248.07
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$851.14
Typical High
$1,621.81

Where Minnesota 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.

Minnesota· 7th of 51

$933

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.