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Breast Reconstruction With A Tissue Expander

Hawaii 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?

$3,422

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

Insurers have agreed to pay about $3,422 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $2,042 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,380$200 to $1,479
Facility feeThe hospital or surgery center$2,042$1,738 to $3,802

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,549 to $6,026Professionalmedian $1,380 · 10th to 90th $30 to $5,888
$50$200$1K$5Kfacility $2,042professional $1,380

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
$1,479.11
Median
$2,818.38
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,258.93
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,737.80
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,318.26
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,819.70
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$1,380.38
Typical High
$8,709.64

Where Hawaii 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

Hawaii· 51st of 51

$3,422

$1,380 physician + $2,042 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.