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Breast Reconstruction Using Lower Abdominal Tissue

California rates for HCPCS 19367

Rebuilds the shape of a breast after breast removal, using skin, fat, and muscle taken from the lower abdomen. The tissue stays connected to its own blood supply and is passed up under the skin to the chest, where it is shaped into a breast mound.

Rates data updated July 2026.

How much does Breast Reconstruction Using Lower Abdominal Tissue cost?

$12,804

Typical total for the visit. In California, July 2026.

Insurers have agreed to pay about $12,804 for this procedure. That total is two separate charges: $2,089 to the doctor who performs it, and $10,715 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 12 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,089$1,585 to $4,169
Facility feeThe hospital or surgery center$10,715$6,918 to $14,125

How much rates vary

Facilitymedian $10,715 · 10th to 90th $4,266 to $18,621Professionalmedian $2,089 · 10th to 90th $1,413 to $8,710
$100$500$2K$10Kfacility $10,715professional $2,089

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
$3,981.07
Median
$10,000.00
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,698.24
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,481.54
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,818.38
Typical High
$5,495.41
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$5,128.61
Typical High
$10,232.93
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,187.76
Typical High
$5,011.87
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$2,137.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,949.84
Typical High
$3,630.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$10,964.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$24,547.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$3,890.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,187.76
Typical High
$4,677.35
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,621.81
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,748.98
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,041.74
Typical High
$5,248.07

Where California sits

The same service costs 7.9 times more in Maine 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

California· 7th of 50

$12,804

$2,089 physician + $10,715 facility

ME $27,358WV $3,477

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.