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Swapping a Tissue Expander for a Permanent Implant

Texas 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?

$3,802

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $1,549 to $7,943.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $692 to $13,490
$500$1K$2K$5K$10K$20K$50Kfacility $3,802

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
$724.44
Median
$3,235.94
Typical High
$8,511.38
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$660.69
Median
$2,344.23
Typical High
$11,748.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$9,549.93
Typical High
$18,197.01
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$3,235.94
Typical High
$9,332.54
Christus
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$8,511.38
Typical High
$8,511.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$45,708.82
Typical High
$45,708.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$1,047.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$645.65
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,165.95
Typical High
$12,589.25

Where Texas 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.

Texas· 31st of 51

$3,802

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.