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Swapping a Tissue Expander for a Permanent Implant

New Jersey 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?

$6,310

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $6,310 for this service. Most negotiated rates run $5,012 to $8,913.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,310 · 10th to 90th $1,698 to $11,749
$500$1K$2K$5K$10K$20Kfacility $6,310

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
$1,698.24
Median
$6,309.57
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,905.46
Median
$4,677.35
Typical High
$9,120.11
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$22,908.68
Typical High
$36,307.81
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$19,498.45

Where New Jersey 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.

New Jersey· 15th of 51

$6,310

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.