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Nipple And Areola Reconstruction

West 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?

$1,501

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

Insurers have agreed to pay about $1,501 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $776 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$724$631 to $871
Facility feeThe hospital or surgery center$776$631 to $871

How much rates vary

Facilitymedian $776 · 10th to 90th $631 to $2,344Professionalmedian $724 · 10th to 90th $589 to $955
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $776professional $724

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
$630.96
Median
$776.25
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$707.95
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$870.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$5,495.41
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$51,286.14
Median
$51,286.14
Typical High
$51,286.14
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,318.26

Where West Virginia 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 feeWest Virginia $1,501 · 50th 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.