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Breast Reconstruction With A Tissue Expander

New York 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?

$6,310

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $6,310 for this service. Most negotiated rates run $3,631 to $10,715.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,310 · 10th to 90th $1,820 to $16,596
$1K$2K$5K$10K$20Kfacility $6,310

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
$1,513.56
Median
$5,011.87
Typical High
$11,220.18
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,445.44
Median
$4,466.84
Typical High
$7,585.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,964.78
Typical High
$26,302.68
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,630.27
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,698.24
Typical High
$4,168.69
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,754.40
Typical High
$14,454.40
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,818.38
Median
$21,379.62
Typical High
$51,286.14
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$23,442.29
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$6,309.57
Typical High
$23,442.29
Univera
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$5,011.87

Where New York 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.

New York· 19th of 51

$6,310

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.