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Nipple And Areola Reconstruction

Oregon 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?

$3,002

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

Insurers have agreed to pay about $3,002 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $1,622 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$1,000 to $1,778
Facility feeThe hospital or surgery center$1,622$1,259 to $1,778

How much rates vary

Facilitymedian $1,622 · 10th to 90th $933 to $8,913Professionalmedian $1,380 · 10th to 90th $724 to $2,291
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,622professional $1,380

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
$1,348.96
Median
$2,187.76
Typical High
$18,620.87
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,890.45
Median
$4,570.88
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,071.52
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$144.54
Median
$1,862.09
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,584.89
Typical High
$2,238.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$2,137.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$1,949.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$2,137.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,584.89
Typical High
$1,621.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$1,995.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,513.56
Typical High
$2,187.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,589.25
Typical High
$15,135.61
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$13,803.84
Median
$18,620.87
Typical High
$22,908.68
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,737.80
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$9,549.93
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$2,238.72

Where Oregon 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 feeOregon $3,002 · 41st 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.