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Revision Of Breast Implant Capsule

New Hampshire 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?

$4,284

Typical total for the visit. In New Hampshire, October 2026.

Insurers have agreed to pay about $4,284 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $3,162 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$1,122$871 to $1,549
Facility feeThe hospital or surgery center$3,162$2,239 to $3,890

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,023 to $6,310Professionalmedian $1,122 · 10th to 90th $631 to $2,089
$500$1K$2K$5K$10Kfacility $3,162professional $1,122

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
$616.60
Median
$1,548.82
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$616.60
Typical High
$1,000.00
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$1,122.02
Typical High
$2,089.30
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,122.02
Median
$1,698.24
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$3,090.30
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,258.93
Typical High
$2,041.74
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,511.89
Typical High
$4,677.35
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$1,174.90
Typical High
$2,398.83
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$3,162.28
Typical High
$4,677.35
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,905.46
Well Sense
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99

Where New Hampshire 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

New Hampshire· 14th of 51

$4,284

$1,122 physician + $3,162 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.