go back

Custom Mould For A Made-To-Measure Breast Implant

Mississippi 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?

$263

Typical negotiated rate. In Mississippi, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $1,514 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$251$138 to $339
FacilityA hospital or hospital-owned outpatient department$1,514$692 to $3,090

How much rates vary

Facilitymedian $1,514 · 10th to 90th $219 to $5,888Professionalmedian $251 · 10th to 90th $126 to $490
$50$200$1K$5Kfacility $1,514professional $251

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
$123.03
Median
$741.31
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$3,467.37
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$501.19

Where Mississippi 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.

Mississippi· 32nd of 51

$263

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.