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Revision Of Breast Implant Capsule

Montana 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 October 2026.

How much does Revision Of Breast Implant Capsule cost?

$2,119

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $2,119 for this procedure. That total is two separate charges: $1,047 to the doctor who performs it, and $1,072 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,047$692 to $1,072
Facility feeThe hospital or surgery center$1,072$1,047 to $1,230

How much rates vary

Facilitymedian $1,072 · 10th to 90th $1,000 to $2,884Professionalmedian $1,047 · 10th to 90th $79 to $1,175
$100$200$500$1K$2K$5Kfacility $1,072professional $1,047

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
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$660.69
Typical High
$977.24
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,570.40
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$1,202.26
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,122.02
Providence
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,570.40
Typical High
$7,244.36
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$912.01
Typical High
$1,071.52
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$4,570.88
United
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,621.81

Where Montana sits

The same service costs 3.9 times more in Connecticut than in Montana. 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.

Physician feeFacility fee

Montana· 51st of 51

$2,119

$1,047 physician + $1,072 facility

CT $8,362MT $2,119

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.