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Excision of a Milk Duct Fistula

Nevada 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?

$457

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $2,570 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$437$324 to $575
FacilityA hospital or hospital-owned outpatient department$2,570$1,230 to $5,754

How much rates vary

Facilitymedian $2,570 · 10th to 90th $302 to $7,762Professionalmedian $437 · 10th to 90th $302 to $1,549
$50$200$1K$5Kfacility $2,570professional $437

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
$302.00
Median
$2,570.40
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,025.60
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$524.81
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$741.31
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$501.19
Typical High
$794.33
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$758.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$501.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,187.76
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$467.74
Typical High
$831.76

Where Nevada 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.

Nevada· 40th of 51

$457

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.