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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 October 2026.

How much does Nipple And Areola Reconstruction cost?

$3,548

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

Insurers have agreed to pay about $3,548 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $2,570 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$977$759 to $1,202
Facility feeThe hospital or surgery center$2,570$1,585 to $7,762

How much rates vary

Facilitymedian $2,570 · 10th to 90th $933 to $12,023Professionalmedian $977 · 10th to 90th $525 to $1,479
$50$200$1K$5Kfacility $2,570professional $977

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,000.00
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$794.33
Typical High
$1,000.00
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$8,912.51
Typical High
$13,803.84
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$912.01
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$1,905.46
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$977.24
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$234.42
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$1,905.46
Typical High
$3,235.94
Providence
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,479.11
United
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,344.23
Typical High
$7,762.47
United
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,659.59

Where New Mexico sits

The same service costs 3.7 times more in Connecticut than in Arkansas. 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· 24th of 51

$3,548

$977 physician + $2,570 facility

CT $7,673AR $2,094

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.