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Custom Mould For A Made-To-Measure Breast Implant

Connecticut 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?

$331

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $7,586 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 5 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$257$186 to $417
FacilityA hospital or hospital-owned outpatient department$7,586$5,248 to $9,550

How much rates vary

Facilitymedian $7,586 · 10th to 90th $4,571 to $11,749Professionalmedian $257 · 10th to 90th $129 to $646
$200$500$1K$2K$5K$10Kfacility $7,586professional $257

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
$3,981.07
Median
$6,918.31
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$251.19
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,302.69
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$741.31
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,709.64
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$281.84
Typical High
$562.34

Where Connecticut 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.

Connecticut· 16th of 51

$331

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.