CPT 19350 Surgery - Integumentary
Nipple/areola reconstruction Cost
Body System: Integumentary
Medicare Facility Rate
$616
CMS PFS CY2026
Medicare Non-Facility Rate
$894
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
8.88
Work RVU
7.89
Facility PE RVU
1.67
Malpractice RVU
26.76
Total RVU
Frequently Asked Questions
How much does Nipple/areola reconstruction cost?
The Medicare facility rate is $616. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Nipple/areola reconstruction cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $616.