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Nipple And Areola Reconstruction

South Carolina 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?

$6,701

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $6,701 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $5,888 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$813$724 to $933
Facility feeThe hospital or surgery center$5,888$1,175 to $11,220

How much rates vary

Facilitymedian $5,888 · 10th to 90th $759 to $20,417Professionalmedian $813 · 10th to 90th $617 to $1,698
$100.0$1.0K$10.0Kfacility $5,888professional $813

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
$724.44
Median
$10,471.29
Typical High
$21,877.62
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$501.19
Median
$1,318.26
Typical High
$4,365.16
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$5,888.44
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$1,778.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$10,715.19
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,548.82

Where South Carolina 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 feeSouth Carolina $6,701 · 13th 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.