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Nipple And Areola Reconstruction

Kentucky 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?

$4,440

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

Insurers have agreed to pay about $4,440 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $3,715 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$724$646 to $912
Facility feeThe hospital or surgery center$3,715$2,344 to $7,586

How much rates vary

Facilitymedian $3,715 · 10th to 90th $851 to $9,550Professionalmedian $724 · 10th to 90th $575 to $1,318
$50.0$200.0$1.0K$5.0Kfacility $3,715professional $724

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
$630.96
Median
$1,819.70
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,073.80
Typical High
$9,549.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$891.25
Median
$1,202.26
Typical High
$1,778.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,000.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$870.96
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$5,495.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,467.37
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,412.54

Where Kentucky 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 feeKentucky $4,440 · 27th 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.