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Breast Reconstruction With A Tissue Expander

California 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 July 2026.

Facilitymedian $9,333 · 10th–90th $3,631$18,6210%10%10th90th$9,333Professionalmedian $1,349 · 10th–90th $891$2,6300%20%10th90th$1,349$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$8,128.31
Typical High
$21,379.62
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$851.14
Median
$6,760.83
Typical High
$34,673.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,471.29
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$7,244.36
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$6,760.83
Typical High
$7,943.28
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,071.52
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,884.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$42,657.95
Typical High
$42,657.95
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$14,125.38
Typical High
$30,199.52