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Breast Reconstruction By Another Technique

Ohio rates for HCPCS 19366

Rebuilding the shape of a breast using a method other than the standard named reconstruction operations. It applies where the surgeon uses an approach that does not match one of the usual described techniques.

Rates data updated October 2026.

How much does Breast Reconstruction By Another Technique cost?

$2,344

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $2,344 for this service. Most negotiated rates run $1,738 to $5,370.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,175 to $10,000Professionalmedian $2,344 · 10th to 90th $2,344 to $2,344
$1K$2K$5K$10Kfacility $3,090professional $2,344

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$5,370.32
Typical High
$10,000.00
CareSource
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,737.80
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23

Where Ohio sits

The same service costs 436.5 times more in Colorado than in South Carolina. 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.

Ohio· 26th of 35

$2,344

CO $13,183SC $30.20

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.