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Revision Of Breast Implant Capsule

Wisconsin 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?

$7,586

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $7,586 for this service. Most negotiated rates run $4,266 to $9,120.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,128 · 10th to 90th $2,951 to $12,589Professionalmedian $1,549 · 10th to 90th $977 to $2,138
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $8,128professional $1,549

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
$562.34
Median
$2,511.89
Typical High
$8,317.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1.00
Median
$3,548.13
Typical High
$4,677.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,317.64
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,041.74
Typical High
$3,311.31
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$4,786.30
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$7,244.36
Typical High
$12,589.25
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$8,511.38
Typical High
$9,120.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$1,380.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$2,137.96
Quartz
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,912.51
Typical High
$8,912.51
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$10,232.93
Typical High
$12,022.64

Where Wisconsin sits

The same service costs 13.8 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $7,586 · 6th of 50
IN $10,233MD $741

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.