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Nipple And Areola Reconstruction

Iowa 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?

$5,786

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

Insurers have agreed to pay about $5,786 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $4,786 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$1,000$776 to $1,660
Facility feeThe hospital or surgery center$4,786$1,778 to $6,761

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,000 to $9,550Professionalmedian $1,000 · 10th to 90th $646 to $4,074
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,786professional $1,000

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
$1,000.00
Median
$4,786.30
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$501.19
Median
$1,445.44
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,949.84
Typical High
$2,454.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,445.44
Typical High
$4,073.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,187.76
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,659.59
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,819.70
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,778.28
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,456.54
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,230.27
Typical High
$2,089.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,348.96
Typical High
$1,949.84

Where Iowa 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 feeIowa $5,786 · 16th 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.