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Removal of Breast Tissue, Skin and Nipple Preserved

New York rates for HCPCS 19304

This covers surgery to remove the internal tissue of the breast while preserving the overlying skin and nipple. It is commonly performed to treat gynecomastia (enlarged breast tissue) or as a risk-reducing procedure for someone at high risk of breast cancer. Because the skin envelope is preserved, this approach can allow for a more natural appearance if reconstruction is planned.

Rates data updated October 2026.

How much rates vary

Facilitymedian $6,310 · 10th to 90th $1,660 to $12,303
$1K$2K$5K$10Kfacility $6,310

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$6,309.57
Typical High
$12,302.69
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$23,442.29
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Emblem Health
Setting
Professional
Modifier
GL · Free upgrade
Typical Low
$489.78
Median
$489.78
Typical High
$501.19