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Nipple And Areola Reconstruction

Vermont 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?

$912

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $912 for this service. Most negotiated rates run $741 to $912.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $912 · 10th to 90th $692 to $1,349
$500.0$1.0K$2.0K$5.0K$10.0Kprofessional $912

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
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$1,096.48
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$2,089.30

Where Vermont sits

The same service costs 4.6 times more in California than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $912 · 34th of 51
CA $3,236RI $708

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.