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Nipple And Areola Reconstruction

Connecticut 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?

$8,696

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

Insurers have agreed to pay about $8,696 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $7,762 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$933$708 to $1,413
Facility feeThe hospital or surgery center$7,762$5,754 to $10,965

How much rates vary

Facilitymedian $7,762 · 10th to 90th $4,571 to $15,849Professionalmedian $933 · 10th to 90th $589 to $2,042
$1K$2K$5K$10K$20Kfacility $7,762professional $933

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
$3,890.45
Median
$7,413.10
Typical High
$15,848.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,548.82
Median
$3,981.07
Typical High
$25,118.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$2,137.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,589.25
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,122.02
Median
$1,584.89
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,380.38
Typical High
$2,238.72
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$1,778.28

Where Connecticut 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

Connecticut· 8th of 50

$8,696

$933 physician + $7,762 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.