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Nipple And Areola Reconstruction

Michigan 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?

$3,249

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

Insurers have agreed to pay about $3,249 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $2,455 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$794$692 to $1,000
Facility feeThe hospital or surgery center$2,455$1,000 to $4,898

How much rates vary

Facilitymedian $2,455 · 10th to 90th $832 to $16,982Professionalmedian $794 · 10th to 90th $575 to $1,413
$1$10$100$1K$10Kfacility $2,455professional $794

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
$831.76
Median
$2,454.71
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,288.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$1,412.54
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,513.56
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,548.82
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,238.72
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$1,380.38
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,248.07
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,318.26

Where Michigan 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

Michigan· 39th of 50

$3,249

$794 physician + $2,455 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.