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Breast Reconstruction Using Lower Abdominal Tissue

Ohio 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?

$10,908

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

Insurers have agreed to pay about $10,908 for this procedure. That total is two separate charges: $1,995 to the doctor who performs it, and $8,913 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,995$1,660 to $2,512
Facility feeThe hospital or surgery center$8,913$4,074 to $12,589

How much rates vary

Facilitymedian $8,913 · 10th to 90th $1,862 to $21,380Professionalmedian $1,995 · 10th to 90th $1,445 to $3,631
$100$1K$10Kfacility $8,913professional $1,995

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
$1,862.09
Median
$7,079.46
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,698.24
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$12,022.64
Typical High
$28,840.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$3,235.94
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,778.28
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,754.23
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$2,290.87
Typical High
$3,548.13
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$2,344.23
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,623.41
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,995.26
Typical High
$3,548.13

Where Ohio 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

Ohio· 11th of 50

$10,908

$1,995 physician + $8,913 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.