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Breast Rebuilding With Lower Abdominal Tissue

South Dakota 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 October 2026.

How much does Breast Rebuilding With Lower Abdominal Tissue cost?

$3,890

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $2,818 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,074$3,236 to $4,677
FacilityA hospital or hospital-owned outpatient department$2,818$2,818 to $3,020

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,754 to $4,365Professionalmedian $4,074 · 10th to 90th $2,188 to $5,623
$2K$5K$10K$20Kfacility $2,818professional $4,074

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,677.35
Typical High
$5,754.40
Medica
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$2,818.38
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$5,370.32
Typical High
$25,703.96
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,677.35
Typical High
$4,677.35
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,311.31
Typical High
$3,890.45
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$5,011.87
Typical High
$5,623.41
Wellmark
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$4,073.80
Typical High
$4,073.80

Where South Dakota sits

The same service costs 8.5 times more in Alaska than in Texas. 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.

South Dakota· 7th of 51

$3,890

AK $8,128TX $955

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.