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Swapping a Tissue Expander for a Permanent Implant

South Dakota 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?

$1,000

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $794 to $1,096.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,122 · 10th to 90th $603 to $4,365Professionalmedian $1,000 · 10th to 90th $692 to $1,230
$500$1K$2K$5K$10Kfacility $1,122professional $1,000

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
$602.56
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$9,772.37
Avera
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,122.02
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,380.38
Typical High
$1,380.38
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$14,791.08

Where South Dakota 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.

South Dakota· 48th of 51

$1,000

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.