go back

Custom Mould For A Made-To-Measure Breast Implant

South Carolina 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?

$269

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $7,943 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$151 to $295
FacilityA hospital or hospital-owned outpatient department$7,943$324 to $13,183

How much rates vary

Facilitymedian $7,943 · 10th to 90th $162 to $20,417Professionalmedian $224 · 10th to 90th $138 to $380
$50$200$1K$5K$20Kfacility $7,943professional $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
$154.88
Median
$9,772.37
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$8,912.51
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$251.19
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$275.42
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$12,589.25
Typical High
$22,387.21
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$407.38

Where South Carolina 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.

South Carolina· 29th of 51

$269

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.