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Nipple And Areola Reconstruction

Maryland 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?

$1,508

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

Insurers have agreed to pay about $1,508 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $676 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$832$692 to $1,585
Facility feeThe hospital or surgery center$676$525 to $851

How much rates vary

Facilitymedian $676 · 10th to 90th $363 to $1,660Professionalmedian $832 · 10th to 90th $589 to $2,344
$1.0$10.0$100.0$1.0K$10.0Kfacility $676professional $832

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
$363.08
Median
$676.08
Typical High
$1,659.59
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$0.98
Median
$2,691.53
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$144.54
Median
$2,570.40
Typical High
$4,786.30
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,995.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$1,659.59
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,202.26
Typical High
$1,380.38

Where Maryland 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 feeMaryland $1,508 · 49th 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.