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Nipple And Areola Reconstruction

Ohio 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?

$4,586

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $4,586 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $3,715 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$871$676 to $1,175
Facility feeThe hospital or surgery center$3,715$2,399 to $7,762

How much rates vary

Facilitymedian $3,715 · 10th to 90th $871 to $10,715Professionalmedian $871 · 10th to 90th $589 to $1,950
$10.0$100.0$1.0K$10.0Kfacility $3,715professional $871

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
$870.96
Median
$3,981.07
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$501.19
Median
$1,621.81
Typical High
$4,365.16
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$616.60
Median
$616.60
Typical High
$1,047.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$933.25
Median
$1,348.96
Typical High
$2,238.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$977.24
Typical High
$1,548.82
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$977.24
Typical High
$1,548.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$426.58
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$933.25
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,168.69
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,445.44

Where Ohio 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 feeOhio $4,586 · 23rd 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.