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Breast Reconstruction With A Tissue Expander

Nebraska 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?

$7,943

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $7,943 for this service. Most negotiated rates run $4,677 to $12,589.

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 $7,943 · 10th to 90th $2,291 to $17,378Professionalmedian $3,388 · 10th to 90th $2,570 to $3,548
$1K$2K$5K$10K$20Kfacility $7,943professional $3,388

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. 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
Global
Typical Low
$2,344.23
Median
$7,943.28
Typical High
$15,135.61
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,995.26
Median
$6,025.60
Typical High
$9,120.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$12,589.25
Typical High
$23,988.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,235.94
Typical High
$28,840.32
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$10,471.29
Median
$26,302.68
Typical High
$61,659.50
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,388.44
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$8,128.31
Typical High
$20,892.96

Where Nebraska 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.

Nebraska· 14th of 51

$7,943

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.