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Nipple And Areola Reconstruction

Alabama rates for HCPCS 19350

A reconstructive procedure that rebuilds the nipple and the darker skin around it, the areola, using the patient's own tissue, typically as one of the final steps after breast reconstruction following a mastectomy. It restores a natural-looking nipple-areola appearance rather than removing any breast tissue.

Rates data updated July 2026.

How much does Nipple And Areola Reconstruction cost?

$3,015

Typical total for the visit. In Alabama, July 2026.

Insurers have agreed to pay about $3,015 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $2,291 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$724$646 to $832
Facility feeThe hospital or surgery center$2,291$794 to $4,571

How much rates vary

Facilitymedian $2,291 · 10th to 90th $646 to $5,754Professionalmedian $724 · 10th to 90th $575 to $1,175
$1K$2K$5K$10Kfacility $2,291professional $724

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
$645.65
Median
$794.33
Typical High
$2,630.27
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,370.32
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,258.93

Where Alabama sits

The same service costs 7.6 times more in Indiana 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.

Physician feeFacility fee

Alabama· 40th of 50

$3,015

$724 physician + $2,291 facility

IN $11,457WV $1,501

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.