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Nipple And Areola Reconstruction

Arizona 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?

$4,492

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

Insurers have agreed to pay about $4,492 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $3,715 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$776$661 to $1,047
Facility feeThe hospital or surgery center$3,715$2,188 to $5,248

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,000 to $7,244Professionalmedian $776 · 10th to 90th $575 to $2,512
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,715professional $776

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
$1,778.28
Median
$4,365.16
Typical High
$8,317.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$870.96
Median
$3,715.35
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$144.54
Median
$2,041.74
Typical High
$5,888.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,388.44
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$3,890.45
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,445.44

Where Arizona sits

The same service costs 7.6 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeArizona $4,492 · 25th of 50
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.