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Breast Reconstruction With A Tissue Expander

South Dakota 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?

$2,291

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $2,291 for this service. Most negotiated rates run $1,862 to $2,570.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,514 to $7,586Professionalmedian $2,291 · 10th to 90th $1,622 to $2,570
$2K$5K$10K$20Kfacility $4,898professional $2,291

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
$4,365.16
Median
$6,165.95
Typical High
$7,585.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$489.78
Median
$1,513.56
Typical High
$2,344.23
Avera
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,344.23
Typical High
$9,772.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,454.71
Typical High
$5,370.32
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,162.28
Typical High
$3,388.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,187.76
Typical High
$2,570.40
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$28,183.83

Where South Dakota 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.

South Dakota· 48th of 51

$2,291

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.