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Nipple And Areola Reconstruction

New Jersey 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?

$7,677

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

Insurers have agreed to pay about $7,677 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $6,918 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$759$631 to $1,148
Facility feeThe hospital or surgery center$6,918$4,266 to $10,000

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,148 to $12,589Professionalmedian $759 · 10th to 90th $575 to $2,188
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $6,918professional $759

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
$851.14
Median
$6,918.31
Typical High
$12,302.69
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,737.80
Median
$5,128.61
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$8,912.51
Typical High
$17,378.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,047.13
Typical High
$1,995.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,698.24
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,803.84
Typical High
$20,417.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$954.99
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$1,584.89

Where New Jersey 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 Jersey $7,677 · 10th 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.