go back

Breast Rebuilding With Lower Abdominal Tissue

North Carolina rates for HCPCS 19369

Rebuilds a breast using skin, fat, and abdominal muscle moved up from the lower belly to the chest, keeping its own blood supply from both sides of the abdomen rather than from one. Because the tissue stays attached to its original blood vessels, it can be shaped into a soft, natural-feeling breast. Drawing the blood supply from both sides suits people who need a larger amount of tissue or whose circulation makes a single-sided supply risky.

Rates data updated July 2026.

How much does Breast Rebuilding With Lower Abdominal Tissue cost?

$2,570

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $3,162 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,455$1,950 to $3,802
FacilityA hospital or hospital-owned outpatient department$3,162$1,950 to $7,586

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,660 to $10,965Professionalmedian $2,455 · 10th to 90th $1,862 to $5,495
$1K$2K$5K$10K$20Kfacility $3,162professional $2,455

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
$1,659.59
Median
$5,248.07
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,949.84
Typical High
$5,370.32
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,754.23
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,090.30
Typical High
$5,128.61
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,570.40
Typical High
$3,890.45
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,290.87
Typical High
$4,677.35
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$12,589.25
Typical High
$12,589.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$26,915.35

Where North Carolina sits

The same service costs 4.5 times more in California than in Delaware. 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.

North Carolina· 25th of 51

$2,570

CA $8,128DE $1,820

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.