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Swapping a Tissue Expander for a Permanent Implant

Colorado rates for HCPCS 11970

Removes a temporary expander that has been stretching the skin and pocket over a period of months and puts a permanent implant in its place through the same incision. It is the second stage of a staged reconstruction, most often after breast surgery. The operation is usually shorter than the first stage and is often done as a day case.

Rates data updated July 2026.

How much does Swapping a Tissue Expander for a Permanent Implant cost?

$9,772

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $9,772 for this service. Most negotiated rates run $2,042 to $20,417.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9,772 · 10th to 90th $708 to $34,674Professionalmedian $813 · 10th to 90th $741 to $4,677
$100$1K$10Kfacility $9,772professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$575.44
Median
$3,235.94
Typical High
$7,413.10
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$870.96
Median
$3,630.78
Typical High
$9,332.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$20,892.96
Typical High
$38,904.51
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$4,677.35
Select Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,748.98
Typical High
$18,197.01

Where Colorado sits

The same service costs 31.6 times more in Indiana than in Delaware. 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.

Colorado· 6th of 51

$9,772

IN $16,982DE $537

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.