go back

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 October 2026.

How much does Nipple And Areola Reconstruction cost?

$2,820

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $2,820 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $1,698 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,122$912 to $1,349
Facility feeThe hospital or surgery center$1,698$1,698 to $3,548

How much rates vary

Facilitymedian $1,698 · 10th to 90th $575 to $3,715Professionalmedian $1,122 · 10th to 90th $741 to $1,738
$500$1K$2Kfacility $1,698professional $1,122

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$912.01
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$1,174.90
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,995.26

Where Vermont sits

The same service costs 3.7 times more in Connecticut than in Arkansas. 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

Vermont· 36th of 51

$2,820

$1,122 physician + $1,698 facility

CT $7,673AR $2,094

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.