go back

Nipple And Areola Reconstruction

Maine 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?

$977

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $724 to $1,259.

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.

How much rates vary

Facilitymedian $7,943 · 10th to 90th $7,943 to $7,943Professionalmedian $977 · 10th to 90th $617 to $1,698
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $7,943professional $977

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,862.09
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$1,778.28
Martin's Point
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$1,905.46

Where Maine sits

The same service costs 4.6 times more in California than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $977 · 27th of 51
CA $3,236RI $708

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.