go back

Surgical Correction Of An Inverted Nipple

South Dakota rates for HCPCS 19355

This procedure surgically corrects one or both nipples that turn inward instead of pointing outward, a condition called nipple inversion. The surgeon releases the shortened ducts and tissue pulling the nipple inward and reshapes it to project normally. It can be done for cosmetic reasons or to help with breastfeeding difficulties, usually as an outpatient procedure.

Rates data updated July 2026.

How much does Surgical Correction Of An Inverted Nipple cost?

$2,405

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $2,405 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $1,230 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$1,175$741 to $1,479
Facility feeThe hospital or surgery center$1,230$813 to $1,905

How much rates vary

Facilitymedian $1,230 · 10th to 90th $676 to $4,365Professionalmedian $1,175 · 10th to 90th $589 to $1,778
$500$1K$2K$5Kfacility $1,230professional $1,175

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,348.96
Typical High
$5,623.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,412.54
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,445.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,288.25
Typical High
$1,905.46
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$1,862.09

Where South Dakota sits

The same service costs 8.1 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

South Dakota· 45th of 50

$2,405

$1,175 physician + $1,230 facility

IN $11,391WV $1,400

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.