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Nipple And Areola Reconstruction

Missouri 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?

$5,159

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

Insurers have agreed to pay about $5,159 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $4,365 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$794$646 to $1,096
Facility feeThe hospital or surgery center$4,365$2,512 to $7,079

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,479 to $15,136Professionalmedian $794 · 10th to 90th $589 to $2,512
$500$1K$2K$5K$10K$20Kfacility $4,365professional $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
$616.60
Median
$4,073.80
Typical High
$15,135.61
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,949.84
Median
$2,238.72
Typical High
$4,365.16
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$16,218.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$13,803.84
Typical High
$15,848.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,000.00
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,412.54
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,090.30
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,445.44

Where Missouri 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

Missouri· 20th of 50

$5,159

$794 physician + $4,365 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.