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Custom Mould For A Made-To-Measure Breast Implant

Nevada 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?

$257

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $2,570 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$234$145 to $316
FacilityA hospital or hospital-owned outpatient department$2,570$1,148 to $5,012

How much rates vary

Facilitymedian $2,570 · 10th to 90th $132 to $7,762Professionalmedian $234 · 10th to 90th $132 to $759
$50$200$1K$5Kfacility $2,570professional $234

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
$131.83
Median
$2,570.40
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$234.42
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,025.60
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$251.19
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$234.42
Typical High
$457.09
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$467.74
Hometown Health
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$436.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$263.03
Typical High
$288.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$239.88
Typical High
$478.63

Where Nevada 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.

Nevada· 36th of 51

$257

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.