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Custom Mould For A Made-To-Measure Breast Implant

Kentucky 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?

$229

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $1,122 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 6 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$1,122$251 to $8,511

How much rates vary

Facilitymedian $1,122 · 10th to 90th $135 to $10,715Professionalmedian $224 · 10th to 90th $123 to $372
$100$200$500$1K$2K$5K$10Kfacility $1,122professional $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
$134.90
Median
$616.60
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$194.98
Typical High
$346.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$213.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$223.87
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$281.84
Typical High
$2,137.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$4,677.35
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$467.74

Where Kentucky 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.

Kentucky· 48th of 51

$229

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.