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Custom Mould For A Made-To-Measure Breast Implant

Idaho 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?

$288

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $2,951 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 8 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$282$209 to $417
FacilityA hospital or hospital-owned outpatient department$2,951$309 to $7,244

How much rates vary

Facilitymedian $2,951 · 10th to 90th $204 to $9,772Professionalmedian $282 · 10th to 90th $182 to $513
$200$500$1K$2K$5K$10Kfacility $2,951professional $282

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
$2,884.03
Median
$4,466.84
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$5,128.61
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$489.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$588.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$8,511.38
Typical High
$12,589.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$478.63
Select Health
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$4,365.16
Typical High
$7,079.46
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$16,982.44
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$512.86

Where Idaho 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.

Idaho· 24th of 51

$288

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.