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Swapping a Tissue Expander for a Permanent Implant

Idaho 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?

$5,248

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $5,248 for this service. Most negotiated rates run $1,000 to $11,220.

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 $5,248 · 10th to 90th $724 to $18,621
$500$1K$2K$5K$10K$20Kfacility $5,248

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
$1,000.00
Median
$4,466.84
Typical High
$8,709.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,951.21
Median
$13,182.57
Typical High
$13,803.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$7,079.46
Typical High
$18,620.87
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,265.80
Median
$8,511.38
Typical High
$28,183.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$776.25
Typical High
$1,122.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$16,218.10
Typical High
$23,442.29
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$18,197.01
Median
$26,302.68
Typical High
$35,481.34
Select Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$6,456.54
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$22,387.21
Typical High
$27,542.29

Where Idaho 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.

Idaho· 19th of 51

$5,248

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.