go back

Swapping a Tissue Expander for a Permanent Implant

West Virginia 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?

$6,457

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $6,457 for this service. Most negotiated rates run $6,457 to $10,965.

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 $6,457 · 10th to 90th $589 to $10,965
$1K$2K$5K$10Kfacility $6,457

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
$524.81
Median
$6,456.54
Typical High
$10,964.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$8,912.51
Median
$9,772.37
Typical High
$9,772.37
CareSource
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,862.09
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$8,511.38
Typical High
$30,199.52
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$7,585.78
Median
$13,182.57
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$7,943.28
Typical High
$20,417.38

Where West Virginia 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.

West Virginia· 14th of 51

$6,457

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.