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Nipple And Areola Reconstruction

Delaware 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?

$1,983

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

Insurers have agreed to pay about $1,983 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $1,259 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$603 to $933
Facility feeThe hospital or surgery center$1,259$1,259 to $6,026

How much rates vary

Facilitymedian $1,259 · 10th to 90th $1,000 to $7,244Professionalmedian $724 · 10th to 90th $589 to $1,820
$1K$2K$5K$10Kfacility $1,259professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$7,244.36
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,258.93
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$12,882.50
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,479.11

Where Delaware 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

Delaware· 48th of 50

$1,983

$724 physician + $1,259 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.