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Surgical Correction Of An Inverted Nipple

Vermont 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 October 2026.

How much does Surgical Correction Of An Inverted Nipple cost?

$3,211

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

Insurers have agreed to pay about $3,211 for this procedure. That total is two separate charges: $1,023 to the doctor who performs it, and $2,188 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$1,023$759 to $1,259
Facility feeThe hospital or surgery center$2,188$2,188 to $3,548

How much rates vary

Facilitymedian $2,188 · 10th to 90th $575 to $3,802Professionalmedian $1,023 · 10th to 90th $603 to $1,479
$500$1K$2Kfacility $2,188professional $1,023

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
$602.56
Median
$602.56
Typical High
$758.58
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$1,071.52
Typical High
$1,380.38
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$977.24
Typical High
$1,819.70

Where Vermont sits

The same service costs 4.0 times more in Connecticut than in Montana. 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· 29th of 51

$3,211

$1,023 physician + $2,188 facility

CT $8,207MT $2,074

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.