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Swapping a Tissue Expander for a Permanent Implant

New Mexico 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?

$8,318

Typical facility fee. In New Mexico, July 2026.

Insurers have agreed to pay about $8,318 for this service. Most negotiated rates run $1,000 to $16,982.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,318 · 10th to 90th $759 to $25,119
$500$1K$2K$5K$10K$20Kfacility $8,318

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
$812.83
Median
$1,548.82
Typical High
$8,709.64
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$16,595.87
Typical High
$26,302.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$707.95
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$11,748.98
Typical High
$31,622.78

Where New Mexico 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 Mexico· 10th of 51

$8,318

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.