go back

Breast Reconstruction With A Tissue Expander

North Carolina 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?

$5,129

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $2,042 to $8,913.

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.

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,122 to $11,220
$1K$2K$5K$10K$20Kfacility $5,129

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
$1,122.02
Median
$5,128.61
Typical High
$11,220.18
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$912.01
Median
$6,606.93
Typical High
$9,772.37
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,621.81
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$14,791.08
Typical High
$26,915.35
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$25,703.96
Typical High
$42,657.95
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40

Where North Carolina 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.

North Carolina· 26th of 51

$5,129

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.