go back

Nipple And Areola Reconstruction

Montana 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 October 2026.

How much does Nipple And Areola Reconstruction cost?

$2,274

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $2,274 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $1,202 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$1,072$871 to $1,318
Facility feeThe hospital or surgery center$1,202$1,072 to $1,549

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,023 to $2,239Professionalmedian $1,072 · 10th to 90th $646 to $1,445
$100$200$500$1K$2K$5Kfacility $1,202professional $1,072

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$724.44
Typical High
$1,047.13
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,570.40
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,318.26
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,659.59
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,621.81
Providence
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,570.40
Typical High
$7,244.36
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,071.52
Typical High
$1,318.26
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$1,659.59

Where Montana sits

The same service costs 3.7 times more in Connecticut than in Arkansas. 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

Montana· 50th of 51

$2,274

$1,072 physician + $1,202 facility

CT $7,673AR $2,094

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.