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Nipple And Areola Reconstruction

Kansas 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?

$4,107

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

Insurers have agreed to pay about $4,107 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $3,236 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$708 to $1,096
Facility feeThe hospital or surgery center$3,236$1,514 to $5,888

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,000 to $9,120Professionalmedian $871 · 10th to 90th $603 to $1,202
$500$1K$2K$5K$10Kfacility $3,236professional $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
$1,148.15
Median
$3,630.78
Typical High
$10,000.00
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$776.25
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,090.30
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$6,456.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,380.38

Where Kansas 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

Kansas· 31st of 50

$4,107

$871 physician + $3,236 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.