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Placing a Tissue Expander Outside the Breast

West Virginia 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?

$2,834

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $2,834 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $1,660 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,175$933 to $1,698
Facility feeThe hospital or surgery center$1,660$1,585 to $2,884

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,413 to $5,248Professionalmedian $1,175 · 10th to 90th $776 to $2,570
$1K$2K$5K$10Kfacility $1,660professional $1,175

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
$1,412.54
Median
$1,412.54
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$1,023.29
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$1,621.81
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,479.11
Typical High
$4,897.79
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$10,000.00
United
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,096.48
Typical High
$2,041.74

Where West Virginia 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

West Virginia· 47th of 51

$2,834

$1,175 physician + $1,660 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.