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Complete Removal Of Breast Implant Capsule

Nationwide rates for HCPCS 19371

Surgery to remove the entire scar-tissue capsule that forms around a breast implant. The complete capsule is taken out, together with the contents held inside it. Removing all of the capsule is what sets this service apart.

Rates data updated July 2026.

How much does Complete Removal Of Breast Implant Capsule cost?

$6,802

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $6,802 for this procedure. That total is two separate charges: $1,047 to the doctor who performs it, and $5,754 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 58 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,047$776 to $1,549
Facility feeThe hospital or surgery center$5,754$2,754 to $9,772

How much rates vary

Facilitymedian $5,754 · 10th to 90th $1,072 to $14,125Professionalmedian $1,047 · 10th to 90th $661 to $2,291
$200$500$1K$2K$5K$10K$20Kfacility $5,754professional $1,047

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
$891.25
Median
$4,570.88
Typical High
$12,302.69
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,548.82
Median
$5,248.07
Typical High
$14,125.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$8,511.38
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,187.76
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
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 6.1 times more in California than in Maryland. 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

Touch or drag across the chart to see any state's rate.

CA $10,363MD $1,686

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.