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Breast Reconstruction With A Tissue Expander

Montana 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.

Facilitymedian $2,630 · 10th–90th $1,995$46,7740%20%10th90th$2,630$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$7,585.78
Median
$7,585.78
Typical High
$38,904.51
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,897.79
Median
$5,128.61
Typical High
$33,113.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$75,857.76
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,089.30
Typical High
$3,090.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,819.70
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$28,183.83