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Breast Reconstruction Using Lower Abdominal Tissue

Montana 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 October 2026.

How much does Breast Reconstruction Using Lower Abdominal Tissue cost?

$5,383

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

Insurers have agreed to pay about $5,383 for this procedure. That total is two separate charges: $2,692 to the doctor who performs it, and $2,692 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$2,692$1,820 to $2,818
Facility feeThe hospital or surgery center$2,692$2,630 to $2,884

How much rates vary

Facilitymedian $2,692 · 10th to 90th $2,630 to $3,236Professionalmedian $2,692 · 10th to 90th $79 to $3,020
$100$200$500$1K$2K$5Kfacility $2,692professional $2,692

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$2,691.53
Typical High
$3,019.95
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,630.27
Typical High
$2,818.38
Providence
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$2,398.83
Typical High
$2,818.38
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$3,019.95
Typical High
$4,265.80

Where Montana sits

The same service costs 8.9 times more in Maine than in Arkansas. 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

Montana· 30th of 51

$5,383

$2,692 physician + $2,692 facility

ME $31,967AR $3,609

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.