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Nipple And Areola Reconstruction

Hawaii 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 October 2026.

How much does Nipple And Areola Reconstruction cost?

$2,732

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $2,732 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $1,820 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$912$617 to $1,072
Facility feeThe hospital or surgery center$1,820$1,549 to $2,570

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,380 to $5,495Professionalmedian $912 · 10th to 90th $30 to $1,349
$50$200$1K$5Kfacility $1,820professional $912

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,318.26
Median
$2,818.38
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$724.44
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,318.26
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,096.48
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$794.33
Typical High
$6,025.60

Where Hawaii sits

The same service costs 3.7 times more in Connecticut than in Arkansas. 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

Hawaii· 40th of 51

$2,732

$912 physician + $1,820 facility

CT $7,673AR $2,094

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.