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Placing a Tissue Expander Outside the Breast

New Mexico rates for HCPCS 11960

Inserts a silicone balloon under the skin somewhere other than the breast and then gradually fills it with fluid over weeks, so the skin above stretches and grows new tissue. The extra skin created is later used to cover a defect, replace scarred or burned skin, or rebuild an area. The repeated filling visits are part of this service.

Rates data updated October 2026.

How much does Placing a Tissue Expander Outside the Breast cost?

$3,469

Typical total for the visit. In New Mexico, October 2026.

Insurers have agreed to pay about $3,469 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $2,239 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,230$1,000 to $1,622
Facility feeThe hospital or surgery center$2,239$1,288 to $3,236

How much rates vary

Facilitymedian $2,239 · 10th to 90th $977 to $7,762Professionalmedian $1,230 · 10th to 90th $813 to $1,660
$50$200$1K$5Kfacility $2,239professional $1,230

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
$977.24
Median
$1,380.38
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$2,238.72
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,288.25
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$288.40
Typical High
$1,445.44
Providence
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$1,513.56
Typical High
$3,235.94
Providence
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$3,235.94
Typical High
$10,471.29
United
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,348.96
Typical High
$1,698.24

Where New Mexico sits

The same service costs 3.6 times more in Alaska than in Kentucky. 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

New Mexico· 30th of 51

$3,469

$1,230 physician + $2,239 facility

AK $8,955KY $2,511

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.