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Breast Reconstruction With A Tissue Expander

Pennsylvania 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?

$6,166

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $6,166 for this service. Most negotiated rates run $2,818 to $7,762.

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 $6,166 · 10th to 90th $1,148 to $10,715
$1K$2K$5K$10K$20K$50Kfacility $6,166

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
$1,071.52
Median
$6,165.95
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,691.53
Median
$8,128.31
Typical High
$38,904.51
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$66,069.34
Typical High
$66,069.34
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$57,543.99
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$38,018.94
Typical High
$64,565.42
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,168.69
Median
$42,657.95
Typical High
$117,489.76
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,760.83
Typical High
$83,176.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,888.44
Typical High
$13,803.84
Martin's Point
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,951.21
Median
$9,549.93
Typical High
$57,543.99
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,884.03
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,165.95
Typical High
$40,738.03

Where Pennsylvania 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.

Pennsylvania· 20th of 51

$6,166

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.