go back

Custom Mould For A Made-To-Measure Breast Implant

Colorado 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?

$372

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $6,918 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 7 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$240$145 to $302
FacilityA hospital or hospital-owned outpatient department$6,918$3,311 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $275 to $14,125Professionalmedian $240 · 10th to 90th $129 to $501
$200$500$1K$2K$5K$10K$20Kfacility $6,918professional $240

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
$275.42
Median
$5,495.41
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$239.88
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,772.37
Typical High
$19,054.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$288.40
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$537.03
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$269.15
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$426.58
Typical High
$1,318.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$251.19
Typical High
$630.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,918.31
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$537.03

Where Colorado 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.

Colorado· 13th of 51

$372

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.