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Excision of a Milk Duct Fistula

Nebraska 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?

$794

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $7,244 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$676$417 to $1,000
FacilityA hospital or hospital-owned outpatient department$7,244$4,365 to $10,000

How much rates vary

Facilitymedian $7,244 · 10th to 90th $794 to $14,454Professionalmedian $676 · 10th to 90th $288 to $1,778
$500$1K$2K$5K$10K$20Kfacility $7,244professional $676

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
$5,754.40
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$758.58
Typical High
$2,630.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,162.28
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$562.34
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$851.14
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$630.96
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$4,897.79
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,096.48

Where Nebraska 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.

Nebraska· 8th of 51

$794

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.