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Swapping a Tissue Expander for a Permanent Implant

New York 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?

$5,888

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $5,888 for this service. Most negotiated rates run $3,090 to $9,333.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $851 to $14,125
$500$1K$2K$5K$10K$20Kfacility $5,888

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
$707.95
Median
$4,677.35
Typical High
$8,128.31
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,380.38
Median
$4,897.79
Typical High
$13,803.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$17,782.79
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,995.26
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,862.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$1,949.84
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,888.44
Typical High
$20,892.96
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$22,908.68
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$13,803.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$1,949.84

Where New York 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 York· 18th of 51

$5,888

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.