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Swapping a Tissue Expander for a Permanent Implant

Oregon 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?

$1,175

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $1,000 to $5,623.

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 $1,175 · 10th to 90th $759 to $17,378Professionalmedian $1,072 · 10th to 90th $832 to $1,230
$500$1K$2K$5K$10K$20Kfacility $1,175professional $1,072

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$6,025.60
Typical High
$25,703.96
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,079.46
Median
$8,511.38
Typical High
$42,657.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,230.27
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,445.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,479.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$23,442.29
Typical High
$28,183.83
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$26,302.68
Median
$35,481.34
Typical High
$42,657.95
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$17,378.01
Typical High
$22,908.68

Where Oregon 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.

Oregon· 46th of 51

$1,175

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.