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Breast Reconstruction Using Lower Abdominal Tissue

Connecticut 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?

$11,001

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

Insurers have agreed to pay about $11,001 for this procedure. That total is two separate charges: $2,291 to the doctor who performs it, and $8,710 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$2,291$1,622 to $3,236
Facility feeThe hospital or surgery center$8,710$7,079 to $16,218

How much rates vary

Facilitymedian $8,710 · 10th to 90th $4,571 to $19,953Professionalmedian $2,291 · 10th to 90th $1,549 to $4,786
$1K$2K$5K$10K$20Kfacility $8,710professional $2,291

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
$4,365.16
Median
$7,943.28
Typical High
$19,952.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,041.74
Typical High
$4,786.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$16,982.44
Typical High
$19,952.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,754.23
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,884.03
Typical High
$5,248.07
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,471.29
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,454.71
Typical High
$3,890.45

Where Connecticut 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

Connecticut· 9th of 50

$11,001

$2,291 physician + $8,710 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.