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Swapping a Tissue Expander for a Permanent Implant

Wisconsin 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?

$12,882

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $12,882 for this service. Most negotiated rates run $2,399 to $17,378.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13,804 · 10th to 90th $1,660 to $22,909Professionalmedian $1,230 · 10th to 90th $891 to $1,820
$500$1K$2K$5K$10K$20Kfacility $13,804professional $1,230

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
$467.74
Median
$2,041.74
Typical High
$17,378.01
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,548.13
Median
$8,912.51
Typical High
$12,302.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,135.61
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$2,754.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,621.81
Typical High
$5,754.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,819.70
Typical High
$15,848.93
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,818.38
Median
$5,128.61
Typical High
$7,413.10
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$9,332.54
Typical High
$15,848.93
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$1,621.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$1,819.70
Quartz
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$20,892.96
Typical High
$20,892.96
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$12,302.69
Typical High
$16,218.10

Where Wisconsin 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.

Wisconsin· 3rd of 51

$12,882

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.