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 July 2026.

How much does Nipple And Areola Reconstruction cost?

$2,452

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

Insurers have agreed to pay about $2,452 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $1,380 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$724 to $1,413
Facility feeThe hospital or surgery center$1,380$1,175 to $1,445

How much rates vary

Facilitymedian $1,380 · 10th to 90th $1,148 to $1,698Professionalmedian $1,072 · 10th to 90th $661 to $3,548
$100$1K$10K$100Kfacility $1,380professional $1,072

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
50 · Both sides
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$3,715.35
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
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,380.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$1,548.82
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$1,548.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$977.24
Typical High
$1,412.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,000.00
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,258.93
Typical High
$1,949.84

Where Montana 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

Montana· 45th of 50

$2,452

$1,072 physician + $1,380 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.