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Swapping a Tissue Expander for a Permanent Implant

Massachusetts 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?

$3,311

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $3,311 for this service. Most negotiated rates run $1,950 to $4,677.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,311 · 10th to 90th $631 to $7,762
$500$1K$2K$5K$10K$20K$50Kfacility $3,311

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
$630.96
Median
$3,090.30
Typical High
$5,128.61
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,096.48
Median
$6,165.95
Typical High
$10,232.93
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$7,585.78
Typical High
$45,708.82
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$3,890.45
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Health New England
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$4,265.80
Typical High
$15,135.61
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$7,585.78
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$16,595.87

Where Massachusetts 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.

Massachusetts· 34th of 51

$3,311

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.