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Excision of a Milk Duct Fistula

Oklahoma 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?

$1,738

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $3,467 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$457$331 to $525
FacilityA hospital or hospital-owned outpatient department$3,467$1,445 to $5,248

How much rates vary

Facilitymedian $3,467 · 10th to 90th $631 to $6,761Professionalmedian $457 · 10th to 90th $324 to $759
$200$500$1K$2K$5K$10Kfacility $3,467professional $457

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
$467.74
Median
$1,513.56
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,365.16
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$426.58
Typical High
$602.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$870.96
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,019.95
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$602.56

Where Oklahoma 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.

Oklahoma· 3rd of 51

$1,738

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.