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Breast Reconstruction With A Tissue Expander

Alaska rates for HCPCS 19357

Rebuilds a breast by placing a temporary balloon-like expander under the skin or chest muscle. Over the following weeks or months salt water is added through a small port to stretch the tissue gradually, making room for a permanent implant later. It may be done at the time of the original breast surgery or as a separate operation afterwards, and the later exchange for a permanent implant is charged separately.

Rates data updated October 2026.

How much does Breast Reconstruction With A Tissue Expander cost?

$15,642

Typical total for the visit. In Alaska, October 2026.

Insurers have agreed to pay about $15,642 for this procedure. That total is two separate charges: $4,677 to the doctor who performs it, and $10,965 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$4,677$2,570 to $5,495
Facility feeThe hospital or surgery center$10,965$7,586 to $14,791

How much rates vary

Facilitymedian $10,965 · 10th to 90th $5,495 to $21,380Professionalmedian $4,677 · 10th to 90th $1,479 to $6,761
$100$500$2K$10Kfacility $10,965professional $4,677

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$5,495.41
Median
$10,000.00
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$5,495.41
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$11,748.98
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,905.46
Typical High
$4,897.79
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$5,495.41
Typical High
$7,943.28
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$3,890.45
Typical High
$6,760.83
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$13,803.84
Typical High
$16,982.44
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Providence
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$11,220.18
Typical High
$32,359.37
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$2,570.40
Typical High
$4,897.79
United
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$10,471.29
Typical High
$24,547.09
United
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$3,890.45
Typical High
$9,772.37

Where Alaska sits

The same service costs 6.3 times more in Wyoming than in Hawaii. 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.

Physician feeFacility fee

Alaska· 3rd of 51

$15,642

$4,677 physician + $10,965 facility

WY $21,505HI $3,422

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.