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Swapping a Tissue Expander for a Permanent Implant

Utah 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?

$4,571

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $4,571 for this service. Most negotiated rates run $851 to $7,586.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,079 · 10th to 90th $3,162 to $10,233Professionalmedian $776 · 10th to 90th $479 to $2,089
$500$1K$2K$5K$10K$20Kfacility $7,079professional $776

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
$3,162.28
Median
$6,918.31
Typical High
$8,912.51
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,511.89
Median
$8,709.64
Typical High
$18,620.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$21,379.62
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$15,488.17
Median
$20,892.96
Typical High
$32,359.37
Select Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$14,791.08

Where Utah 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.

Utah· 23rd of 51

$4,571

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.