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Swapping a Tissue Expander for a Permanent Implant

Washington, DC 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?

$3,981

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $1,479 to $5,012.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,230 to $7,762Professionalmedian $1,259 · 10th to 90th $550 to $1,288
$1K$2K$5K$10K$20Kfacility $3,981professional $1,259

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
$3,090.30
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,000.00
Median
$3,548.13
Typical High
$4,786.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,258.93
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$13,182.57
Typical High
$38,018.94

Where Washington, DC 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.

Washington, DC· 28th of 51

$3,981

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.