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Nipple And Areola Reconstruction

Virginia 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?

$3,403

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

Insurers have agreed to pay about $3,403 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $2,512 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$891$759 to $1,122
Facility feeThe hospital or surgery center$2,512$933 to $6,310

How much rates vary

Facilitymedian $2,512 · 10th to 90th $759 to $9,772Professionalmedian $891 · 10th to 90th $661 to $1,660
$500$1K$2K$5K$10Kfacility $2,512professional $891

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
$3,630.78
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,096.48
Median
$3,981.07
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,047.13
Median
$1,445.44
Typical High
$2,137.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,737.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,047.13
Typical High
$2,754.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$1,905.46
Medcost
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,584.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$1,548.82

Where Virginia 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

Virginia· 37th of 50

$3,403

$891 physician + $2,512 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.