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Swapping a Tissue Expander for a Permanent Implant

Iowa 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?

$3,802

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $1,230 to $6,761.

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.

How much rates vary

Facilitymedian $4,898 · 10th to 90th $851 to $13,490Professionalmedian $955 · 10th to 90th $513 to $1,862
$200$500$1K$2K$5K$10K$20Kfacility $4,898professional $955

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,981.07
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$4,897.79
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$812.83
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$4,168.69
Typical High
$18,197.01
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,380.38
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,220.18
Typical High
$19,054.61

Where Iowa 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.

Iowa· 30th of 51

$3,802

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.