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Nipple And Areola Reconstruction

Minnesota 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?

$5,679

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

Insurers have agreed to pay about $5,679 for this procedure. That total is two separate charges: $1,698 to the doctor who performs it, and $3,981 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$1,698$1,230 to $2,399
Facility feeThe hospital or surgery center$3,981$2,344 to $6,761

How much rates vary

Facilitymedian $3,981 · 10th to 90th $813 to $11,220Professionalmedian $1,698 · 10th to 90th $832 to $3,020
$1K$2K$5K$10K$20Kfacility $3,981professional $1,698

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
$645.65
Median
$812.83
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$144.54
Median
$2,041.74
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$8,511.38
Typical High
$17,378.01
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,762.47
Median
$14,454.40
Typical High
$40,738.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,737.80
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,659.59
Median
$2,630.27
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,951.21
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,344.23
Typical High
$3,548.13
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,235.94
Typical High
$6,456.54
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,089.30
Typical High
$3,311.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,380.38
Typical High
$7,762.47
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,949.84
Median
$3,388.44
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,778.28
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,248.07
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,621.81
Typical High
$2,951.21

Where Minnesota 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

Minnesota· 17th of 50

$5,679

$1,698 physician + $3,981 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.