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Breast Reconstruction With A Tissue Expander

Maryland 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?

$1,175

Typical facility fee. In Maryland, July 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $631 to $1,445.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,175 · 10th to 90th $48 to $3,631Professionalmedian $1,318 · 10th to 90th $1,148 to $2,344
$50$200$1K$5Kfacility $1,175professional $1,318

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
$47.86
Median
$1,174.90
Typical High
$3,235.94
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$10.00
Median
$57.54
Typical High
$8,128.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$28,183.83

Where Maryland 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.

Maryland· 51st of 51

$1,175

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.