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Revision Of Breast Implant Capsule

Nationwide rates for HCPCS 19370

Reshapes the scar-tissue capsule that has formed around a breast implant. The capsule may be cut to release it, stitched to tighten it, or partly removed. Part of the capsule is left in place.

Rates data updated July 2026.

How much does Revision Of Breast Implant Capsule cost?

$5,989

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $5,989 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $5,012 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 59 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$977$724 to $1,445
Facility feeThe hospital or surgery center$5,012$2,455 to $8,318

How much rates vary

Facilitymedian $5,012 · 10th to 90th $977 to $13,183Professionalmedian $977 · 10th to 90th $631 to $2,138
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $5,012professional $977

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
$851.14
Median
$4,365.16
Typical High
$11,748.98
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,023.29
Median
$4,265.80
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,165.95
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,089.30
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$5,370.32
Typical High
$12,022.64

What it costs in each state

The same service costs 6.5 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee
WI $9,677MD $1,500

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.