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Nipple And Areola Reconstruction

South Dakota 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?

$9,660

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

Insurers have agreed to pay about $9,660 for this procedure. That total is two separate charges: $1,148 to the doctor who performs it, and $8,511 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$1,148$708 to $1,622
Facility feeThe hospital or surgery center$8,511$1,698 to $8,511

How much rates vary

Facilitymedian $8,511 · 10th to 90th $955 to $8,511Professionalmedian $1,148 · 10th to 90th $646 to $1,950
$1.0K$2.0K$5.0Kfacility $8,511professional $1,148

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
$4,365.16
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,949.84
Typical High
$2,454.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,584.89
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,513.56
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,698.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,412.54
Typical High
$2,187.76
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$2,041.74

Where South Dakota 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 Dakota $9,660 · 4th 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.