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Nipple And Areola Reconstruction

Idaho 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?

$4,485

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

Insurers have agreed to pay about $4,485 for this procedure. That total is two separate charges: $1,096 to the doctor who performs it, and $3,388 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,096$871 to $1,288
Facility feeThe hospital or surgery center$3,388$1,202 to $7,244

How much rates vary

Facilitymedian $3,388 · 10th to 90th $871 to $9,772Professionalmedian $1,096 · 10th to 90th $708 to $1,549
$1K$2K$5K$10Kfacility $3,388professional $1,096

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
$3,388.44
Median
$4,466.84
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$501.19
Median
$1,584.89
Typical High
$4,365.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,265.80
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,630.27
Median
$6,165.95
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,348.96
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,445.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,698.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,511.38
Typical High
$12,589.25
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$9,120.11
Median
$13,182.57
Typical High
$18,620.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,148.15
Typical High
$1,380.38
Select Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,548.13
Typical High
$6,025.60
Select Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,479.11

Where Idaho 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

Idaho· 26th of 50

$4,485

$1,096 physician + $3,388 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.