How Much Does a Breast Reduction Cost?

What if U Want to Go from a 40 DDD to a 38C. They are making my ribs hurt my back and my neck hurt. How can the insurant help to?

Doctor Answers (11)

Breast Reduction Costs - Los Angeles

+2

Hello and thank you for the question.

The fee for a breast reduction will vary depending on the region. In Los Angeles, the price range for a Board Certified Plastic Surgeon will run from $7500 - $20,000. Insurance does cover these procedures, although the amount of coverage will depend on the quality of insurance you have, your deductible, etc.

Best,

Glenn Vallecillos, M.D., F.A.C.S. 


Beverly Hills Plastic Surgeon
5.0 out of 5 stars 20 reviews

Breast Reduction Is Often Covered By Insurance

+1
Breast reduction surgery is a procedure that can occasionally be covered by insurance because it does correct an actual medical problem and improve day to day function.Unfortunately, with all of the changes in healthcare over the last few years, not all insurance companies cover this now.It really depends on the company and the specifics of your insurance policy.If the breast reduction procedure is an exclusion on your policy then it can be performed on a cosmetic basis and still achieve for you the functional benefits.The actual cost will vary from one surgeon to another and from location to location.In our private Midwestern plastic surgery practice, a cosmetic breast reduction costs $6690.This includes the surgeon’s fee, facility fee and anesthesia.The only other cost you may incur would be for the prescriptions (approximately $60 and pathology processing fee $195).Both of these may be picked up by your insurance company even if the procedure is not covered.

Marie E. Montag, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 18 reviews

Breast Reduction Cost?

+1

Thank you for the question.

Breast reduction surgery costs will vary from region to region and from one surgeon to another. 

The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure.

This documentation and letter/pictures from your plastic surgeon will help you obtain authorization. Make sure you're saying a well-trained/experienced board-certified plastic surgeon.  

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 789 reviews

You might also like...

Breast Reduction - Costs, Insurance

+1

Hi Houston6810 in Houston, TX,

Prices range tremendously from one region to another, and even within a given region  In New York, it typically costs about $10,000-15,000 to have this procedure.  You should call around to doctors in your area to get an idea of what prices are like near you.

Breast reduction is covered by some insurance plans.  As always, whether or not the procedure is "covered," and whether or not you'll be able to find a doctor within the program or who will accept their insurance, depends on individual variations and specifics of your policy.  You would need to find a surgeon within your plan and see if he or she thinks you could have your procedure covered.

I hope that this helps, and good luck,

Dr. E

Alan M. Engler, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 155 reviews

Insurance Coverage for Breast Reduction

+1
It is possible for Insurance to cover your procedure but every policy is different. You will want to check Plastic Surgeons in your area and see if they are covered on your policy. Sometimes it just takes a letter and an initial consultation with a Plastic Surgeon to get the process started. First thing first though, check with your insurance company.

Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 35 reviews

How much does a breast reduction cost? Insurance and our of pocket.

+1

There are many factors that determine how much a breast reduction costs but it is not directly related to the cup size change (except indirectly in that much larger breasts may require more surgical/anesthesia time and therefore greater cost). First you would need to check to see if you have health insurance which may cover breast reduction surgery. Obtaining approval can be quite difficult at times and does vary among the different plans.

If you do have insurance and do obtain approval, you would need to contact them so that they can provide you with a more accurate dollar amount as to what your responsibility would be. There may be deductibles, co-pays, etc.

Paying for a breast reduction out of pocket will cost you more. The exact dollar amount varies among plastic surgeons as well as areas around the country. You may be looking from around $7000 total cost to in excess of $20,000 in NYC.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 21 reviews

Breast Reduction

+1

Often times a breast reduction will be covered under your insurance. Contact your insurance provider  for information on your specific plan. The cosmetic fee will vary based on a number of factors including the exact nature of the procedure, how long it will take to perform, the facility fee, and anesthesia fees.  At The Sullivan Centre in Columbus, Ohio, the average fee total for a cosmetic breast reduction is about $5400. Best wishes!

Christine Sullivan, MD
Columbus Plastic Surgeon
5.0 out of 5 stars 22 reviews

Breast reduction insurance coverage.

+1


Insurance Coverage for Breast Reduction
Article by George J. Beraka, MD
Manhattan Plastic Surgeon

80% of breast reduction questions on RealSelf are about insurance coverage. Here are some helpful points.

1) Insurance companies try very hard not to pay for breast reduction, even though they should. Even small breast reductions relieve many symptoms such as back pain and shoulder pain, and even some types of headaches.

2) Very big reductions (like from an F cup to a C cup) will usually be covered.

3) Many policies will pay for breast reduction if 500 grams (a little more than a pound) or more are removed from each breast.

4) Some policies take your height and weight into account. So that if you are tiny, smaller reductions will be covered. Find out the details of your policy.

5) DON'T get too much of a reduction just to satisfy the insurance company. You will be unhappy with tiny breasts.

6) Your surgeon needs to request pre-certification IN WRITING, and attach as much evidence as possible.

7) Evidence includes letters from your internist, orthopedic surgeon, and/or chiropractor stating that breast reduction will relieve your symptoms.

8) Some companies require that you try "alternative treatments" such as weight loss and physical therapy first.

9) Don't give up. If the first request is denied, demand an appeal.

10) If there is no insurance, and you cannot afford to pay a private surgeon, go to the plastic surgery clinic of a teaching hospital. There, residents do the surgery under supervision, and the cost is minimal. In New York City, we train residents and fellows at Lenox Hill Hospital, and they do good work.
 

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Breast reduction cost

+1

The fee for a breast reduction will vary from region to region around the country. This can cost in NYC $8,000-$20,000.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Insurance Coverage of Breast Reduction

+1

Regarding: "How Much Does a Breast Reduction Cost?
What if U Want to Go from a 40 DDD to a 38C. They are making my ribs hurt my back and my neck hurt. How can the insurant help to
?"

Every medical insurance company has different requirements that need to be met before it PARTIALLY pays (you are responsible for co-payments and deductibles) for Breast Reduction surgery. The first thing to do is to review your policy to see if you EVEN have Breast Reduction "benefits". If you do not, you might as well stop here. If you / your boss did not buy and pay for these benefits you are not eligible to get them and you will not win any wars with your insurer for benefits that you do not have coming to you. If you DO have such benefits, read carefully what they are asking fir you to do. Some insurers demand that your primary care doctor evaluate you and try "conservative" therapy for 6-12 months including seeing such specialists. If you are allowed to see a Plastic surgeon pick one who works with your insurer. He / she will know your company's requirements and advise you. The companies usually demand that a CERTAIN weight of breast tissue be removed in surgery from each breast, this may NOT make a DDD to C possible since the company's demands may require removing more than what you are willing to part with.

Good Luck.

Dr. Peter Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 66 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.