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Nipple And Areola Reconstruction

North Carolina 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?

$2,142

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $2,142 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $1,230 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$912$724 to $1,413
Facility feeThe hospital or surgery center$1,230$813 to $5,370

How much rates vary

Facilitymedian $1,230 · 10th to 90th $661 to $8,511Professionalmedian $912 · 10th to 90th $661 to $2,239
$1$10$100$1K$10Kfacility $1,230professional $912

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
$660.69
Median
$1,258.93
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$0.58
Median
$4,897.79
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$562.34
Median
$1,412.54
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$1,995.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$933.25
Typical High
$1,513.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,918.31
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,698.24
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$33,884.42
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$7,079.46

Where North Carolina 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

North Carolina· 47th of 50

$2,142

$912 physician + $1,230 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.