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Breast Reconstruction With A Tissue Expander

Kentucky 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.

How much does Breast Reconstruction With A Tissue Expander cost?

$3,981

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $2,344 to $8,511.

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 $3,981 · 10th to 90th $1,479 to $12,023
$1K$2K$5K$10Kfacility $3,981

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
$1,096.48
Median
$2,511.89
Typical High
$9,120.11
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,089.30
Median
$3,630.78
Typical High
$7,413.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,570.88
Typical High
$12,022.64
CareSource
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,445.44
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$7,413.10
Typical High
$19,952.62

Where Kentucky sits

The same service costs 16.2 times more in West Virginia than in Maryland. 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.

Kentucky· 35th of 51

$3,981

WV $19,055MD $1,175

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.