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Nipple And Areola Reconstruction

Tennessee 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?

$3,605

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

Insurers have agreed to pay about $3,605 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $2,754 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$692 to $1,122
Facility feeThe hospital or surgery center$2,754$1,820 to $4,571

How much rates vary

Facilitymedian $2,754 · 10th to 90th $891 to $6,457Professionalmedian $851 · 10th to 90th $575 to $1,549
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $2,754professional $851

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
$2,398.83
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,949.84
Median
$2,570.40
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$501.19
Median
$1,445.44
Typical High
$4,365.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,073.80
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$1,548.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$33,884.42
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$7,079.46
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,467.37
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$1,698.24

Where Tennessee 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 feeTennessee $3,605 · 35th 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.