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Nipple And Areola Reconstruction

Utah 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?

$6,366

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

Insurers have agreed to pay about $6,366 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $5,495 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$871$708 to $1,096
Facility feeThe hospital or surgery center$5,495$3,162 to $7,244

How much rates vary

Facilitymedian $5,495 · 10th to 90th $708 to $8,710Professionalmedian $871 · 10th to 90th $269 to $1,778
$100$200$500$1K$2K$5K$10Kfacility $5,495professional $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
$707.95
Median
$4,570.88
Typical High
$8,709.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$776.25
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,949.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,585.78
Typical High
$11,481.54
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,128.31
Median
$11,220.18
Typical High
$16,982.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$1,412.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Select Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,949.84
Typical High
$2,290.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$912.01
Typical High
$1,479.11

Where Utah sits

The same service costs 7.6 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Utah· 14th of 50

$6,366

$871 physician + $5,495 facility

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.