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Nipple And Areola Reconstruction

New Hampshire 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?

$4,126

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $4,126 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $2,951 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$1,175$891 to $1,622
Facility feeThe hospital or surgery center$2,951$1,549 to $5,248

How much rates vary

Facilitymedian $2,951 · 10th to 90th $617 to $9,772Professionalmedian $1,175 · 10th to 90th $631 to $2,089
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,951professional $1,175

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
$2,398.83
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,122.02
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,071.52
Typical High
$1,621.81
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$933.25
Median
$1,584.89
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,445.44
Typical High
$2,398.83
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,288.25
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,318.26
Typical High
$2,511.89
Well Sense
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13

Where New Hampshire sits

The same service costs 7.6 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNew Hampshire $4,126 · 30th of 50
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.