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Swapping a Tissue Expander for a Permanent Implant

Georgia 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?

$4,898

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $2,188 to $7,413.

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.

How much rates vary

Facilitymedian $5,129 · 10th to 90th $977 to $11,749Professionalmedian $646 · 10th to 90th $589 to $1,549
$100$500$2K$10Kfacility $5,129professional $646

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
$645.65
Median
$4,570.88
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,548.82
Median
$4,365.16
Typical High
$5,754.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$5,370.32
Typical High
$12,882.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$6,309.57
Typical High
$12,022.64

Where Georgia 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.

Georgia· 21st of 51

$4,898

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.