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Breast Reduction Surgery

Washington, DC rates for HCPCS 19318

Reduces the size of the breasts by removing excess breast tissue, fat and skin, then reshaping and lifting what remains and repositioning the nipple on the smaller breast. It is done to relieve neck, shoulder and back pain, grooving from bra straps, rashes in the fold beneath the breast, and difficulty exercising caused by very large breasts. Both sides are usually treated in the same operation.

Rates data updated October 2026.

How much does Breast Reduction Surgery cost?

$1,380

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $1,380 for this service. Most negotiated rates run $1,122 to $3,020.

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.

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,698 to $27,542Professionalmedian $1,175 · 10th to 90th $1,047 to $4,677
$1K$2K$5K$10K$20Kfacility $4,169professional $1,175

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$2,754.23
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,122.02
Typical High
$2,754.23
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,174.90
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$3,548.13
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$2,238.72
Typical High
$2,570.40
United
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$10,232.93
Typical High
$34,673.69
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,621.81
Typical High
$3,019.95

Where Washington, DC sits

The same service costs 6.6 times more in Alaska than in Utah. 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.

Washington, DC· 35th of 51

$1,380

AK $4,467UT $676

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.