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Nipple And Areola Reconstruction

Illinois 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?

$3,326

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

Insurers have agreed to pay about $3,326 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $2,455 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$871$692 to $1,288
Facility feeThe hospital or surgery center$2,455$1,259 to $5,623

How much rates vary

Facilitymedian $2,455 · 10th to 90th $776 to $10,000Professionalmedian $871 · 10th to 90th $575 to $1,622
$500$1K$2K$5K$10K$20Kfacility $2,455professional $871

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
$776.25
Median
$2,089.30
Typical High
$10,000.00
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,398.83
Median
$3,311.31
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$309.03
Median
$1,148.15
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$5,623.41
Typical High
$11,481.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$11,220.18
Typical High
$14,125.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,023.29
Typical High
$1,584.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$3,890.45
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$851.14
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,548.13
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,698.24

Where Illinois 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

Illinois· 38th of 50

$3,326

$871 physician + $2,455 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.