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Swapping a Tissue Expander for a Permanent Implant

Kentucky 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?

$3,236

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $1,660 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 $3,236 · 10th to 90th $708 to $8,511
$1K$2K$5K$10Kfacility $3,236

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
$537.03
Median
$912.01
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,995.26
Median
$4,466.84
Typical High
$6,165.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,801.89
Typical High
$8,511.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$5,495.41
Typical High
$10,471.29

Where Kentucky 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.

Kentucky· 36th of 51

$3,236

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.