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Custom Mould For A Made-To-Measure Breast Implant

Alabama rates for HCPCS 19396

An impression of the chest is taken and shaped so that a breast implant can be manufactured to match the individual's own contour. It is the preparatory step used when a standard, off-the-shelf implant would not fit the chest wall well, and the finished implant is placed inside the body at a later operation.

Rates data updated July 2026.

How much does Custom Mould For A Made-To-Measure Breast Implant cost?

$251

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $2,188 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$135 to $251
FacilityA hospital or hospital-owned outpatient department$2,188$1,259 to $2,818

How much rates vary

Facilitymedian $2,188 · 10th to 90th $871 to $4,571Professionalmedian $224 · 10th to 90th $123 to $339
$100$200$500$1K$2K$5K$10Kfacility $2,188professional $224

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
$794.33
Median
$1,230.27
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$199.53
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$3,467.37
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$354.81

Where Alabama sits

The same service costs 21.4 times more in California than in West Virginia. 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.

Alabama· 41st of 51

$251

CA $4,571WV $214

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.