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Nipple And Areola Reconstruction

Indiana 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?

$11,457

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

Insurers have agreed to pay about $11,457 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $10,715 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$741$631 to $977
Facility feeThe hospital or surgery center$10,715$6,310 to $16,982

How much rates vary

Facilitymedian $10,715 · 10th to 90th $1,862 to $18,621Professionalmedian $741 · 10th to 90th $562 to $1,318
$1K$2K$5K$10K$20Kfacility $10,715professional $741

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
$977.24
Median
$4,897.79
Typical High
$14,125.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$12,022.64
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,148.15
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$977.24
Median
$1,737.80
Typical High
$2,570.40
CareSource
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$676.08
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,348.96

Where Indiana 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

Indiana· 1st of 50

$11,457

$741 physician + $10,715 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.