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Nipple And Areola Reconstruction

New Mexico 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?

$5,102

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

Insurers have agreed to pay about $5,102 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $4,169 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$933$676 to $1,288
Facility feeThe hospital or surgery center$4,169$1,349 to $8,913

How much rates vary

Facilitymedian $4,169 · 10th to 90th $933 to $12,882Professionalmedian $933 · 10th to 90th $513 to $3,548
$50$200$1K$5Kfacility $4,169professional $933

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
$954.99
Median
$1,348.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$812.83
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$144.54
Median
$144.54
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$8,912.51
Typical High
$14,125.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$1,949.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,698.24

Where New Mexico 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

New Mexico· 21st of 50

$5,102

$933 physician + $4,169 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.