go back

Nipple And Areola Reconstruction

Colorado 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?

$7,017

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

Insurers have agreed to pay about $7,017 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $6,166 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$692 to $1,096
Facility feeThe hospital or surgery center$6,166$2,455 to $9,550

How much rates vary

Facilitymedian $6,166 · 10th to 90th $891 to $13,183Professionalmedian $851 · 10th to 90th $603 to $1,585
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,166professional $851

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
$851.14
Median
$3,801.89
Typical High
$7,244.36
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$776.25
Median
$4,265.80
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$707.95
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,772.37
Typical High
$19,054.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,584.89
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,659.59
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,412.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$4,897.79
Select Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,258.93
Typical High
$1,949.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$691.83
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,862.09

Where Colorado 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 feeColorado $7,017 · 12th 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.