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Nipple And Areola Reconstruction

Washington, DC 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?

$871

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $724 to $2,291.

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.

How much rates vary

Facilitymedian $3,020 · 10th to 90th $871 to $7,762Professionalmedian $832 · 10th to 90th $676 to $1,380
$1K$2K$5K$10K$20Kfacility $3,020professional $832

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
$870.96
Median
$2,818.38
Typical High
$6,918.31
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,090.30
Median
$3,548.13
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$870.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$3,311.31
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,000.00
Typical High
$2,290.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,548.82
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,096.48
Typical High
$1,949.84

Where Washington, DC sits

The same service costs 4.6 times more in California than in Rhode Island. 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.

Washington, DC· 40th of 51

$871

CA $3,236RI $708

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.