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Breast Reconstruction With A Tissue Expander

Delaware 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?

$5,336

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

Insurers have agreed to pay about $5,336 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $3,890 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,445$1,202 to $1,950
Facility feeThe hospital or surgery center$3,890$1,950 to $6,607

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,096 to $8,913Professionalmedian $1,445 · 10th to 90th $1,023 to $2,692
$200$1K$5K$20Kfacility $3,890professional $1,445

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
$1,023.29
Median
$1,096.48
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$5,011.87
Typical High
$8,912.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$2,344.23
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$7,943.28
Typical High
$72,443.60
United
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$2,818.38
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$2,630.27

Where Delaware 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

Delaware· 42nd of 51

$5,336

$1,445 physician + $3,890 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.