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Nipple And Areola Reconstruction

Massachusetts 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?

$3,559

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

Insurers have agreed to pay about $3,559 for this procedure. That total is two separate charges: $1,047 to the doctor who performs it, and $2,512 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,047$708 to $1,660
Facility feeThe hospital or surgery center$2,512$832 to $3,890

How much rates vary

Facilitymedian $2,512 · 10th to 90th $776 to $5,370Professionalmedian $1,047 · 10th to 90th $589 to $2,344
$100.0$1.0K$10.0Kfacility $2,512professional $1,047

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
$3,388.44
Typical High
$5,248.07
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$776.25
Median
$2,754.23
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$501.19
Median
$1,445.44
Typical High
$4,365.16
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$5,370.32
Typical High
$33,884.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,148.15
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,698.24
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,380.38
Typical High
$2,454.71
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$4,897.79
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,737.80
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,230.27
Typical High
$2,344.23
Health New England
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,479.11
Typical High
$4,073.80
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$5,370.32
Typical High
$33,884.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,148.15
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$2,511.89

Where Massachusetts 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 feeMassachusetts $3,559 · 36th 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.